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NPI Code Detail

MEDICARE: DR. MATTHEW TSAO-REN WONG MD

MEDICARE: DR. MATTHEW TSAO-REN WONG MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training ProgramTX

General Provider Information

NPI Number : 1437087384
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MATTHEW TSAO-REN WONG MD
Provider Business Mailing Address
First Line : 6431 FANNIN ST STE JJL 310
Second Line :
City : HOUSTON
State : TX
Zip : 77030-1501
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6410 FANNIN ST STE 1400
Second Line :
City : HOUSTON
State : TX
Zip : 77030-5389
Country : US
Telephone Number : 832-325-7125
Fax Number : 713-512-2200
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/11/2026
Last Update Date : 05/11/2026

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