George Fong
Physician Assistant in Conroe, TX. Individual provider (NPI-1).
NPI number1811319486
StatusActive
Last updated in NPPESJan 15, 2014
Details
- NPI
- 1811319486
- Entity type
- Individual (NPI-1)
- Name
- George Fong
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 15, 2014
- Last updated
- Jan 15, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | pa03874 | TX | Yes |
Practice location
200 River Pointe Dr200
Conroe, TX 77304-2814
Phone 936-494-4179
Mailing address
200 River Pointe Dr200
Conroe, TX 77304-2814
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