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Contact Information

SO FONG WONG, FNP, CNS, CDE
5050 CRENSHAW RD
STE 100
PASADENA, TX77505-3138
 Phone: 281-487-1000
 Fax: 832-399-4110
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Adult Health

364SA2200X 89 Certified Clinical Nurse Specialist
 

Diabetes Educator

163WD0400X
Indicates primary specialty

NPI Profile & details for SO FONG WONG · (Female)

NPI # 1043290703
Status Active
Credentials FNP, CNS, CDE
Entity Individual
Enumeration date 01/19/2006
Last updated 08/05/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • TX License # 21210407
  • TX License # 654824
  • TX License # AP110586
  • Other CN8558 PTAN
  • Other 093873001 TPI
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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