Lijuan Tong MD PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

L9936 Issued in TX

Legal business name

LIJUAN TONG MD PA

Practice address

343 W Houston St Ste 306
San Antonio, TX 78205-2140

Phone

(210) 577-0673

Fax

(210) 247-9699

NPI assigned

Nov 7, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Lijuan Tong, MD

Title

President

Phone

(210) 577-0673

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1194393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364774400000",
    "number": "1891975835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 701543",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782701543",
            "telephone_number": "210-497-1528",
            "fax_number": "210-247-9699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "343 W HOUSTON ST STE 306",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782052140",
            "telephone_number": "210-577-0673",
            "fax_number": "210-247-9699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIJUAN TONG MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-07",
        "last_updated": "2013-04-01",
        "status": "A",
        "authorized_official_last_name": "TONG",
        "authorized_official_first_name": "LIJUAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-577-0673",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "L9936",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "173888201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lighthouse Primary Home Care LLC
• Lighthouse Public Schools
• Lighthouseambulance
• Robin A. Ligocki
• Lydia Liguez
• Gina Phi Liles, OD
• Lilia E. Martinez Cyr, DDS, PLLC
• Liliana Meeker, DDS, PA
• Stephaine E Liliedahl, IDMT
• Nettie Marie Lillard

• Specialist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.