MEDICARE: TSZ MAN WONG RD, CSR, LD, CDCES

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
1	133V00000X	Registered Dietitian	DT81356	TX

General Provider Information

NPI Number	:	1386163541
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TSZ MAN WONG RD, CSR, LD, CDCES

Provider Business Mailing Address
First Line	:	9340 HIGHWAY 6 STE 400
Second Line	:
City	:	MISSOURI CITY
State	:	TX
Zip	:	77459-5133
Country	:	US
Telephone Number	:	281-778-3500
Fax Number	:	281-778-3512

Provider Business Practice Location Address
First Line	:	9340 HIGHWAY 6 STE 400
Second Line	:
City	:	MISSOURI CITY
State	:	TX
Zip	:	77459-5133
Country	:	US
Telephone Number	:	281-778-3500
Fax Number	:	281-778-3512

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/19/2017
Last Update Date	:	12/29/2025

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