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Edward Michael Pong, MD
Diagnostic Radiology Physician in Plano, Texas
NPI 1679531313

Edward Michael Pong is a Diagnostic Radiology Physician based in Plano, TX and is specialized in Diagnostic Radiology. Edward Michael Pong practices in Plano, TX and has the professional credentials of MD. The NPI Number for Edward Michael Pong is 1679531313 and holds a License No. L1700 (Texas).

The current practice location address for Edward Michael Pong is 3901 W 15Th St, Plano, TX and can be reached out via phone at 972-596-6800.

Location: 3901 W 15Th St, Plano, TX, 75093-3656
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679531313
Provider Name
Edward Michael Pong
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3901 W 15Th St, Plano, TX, 75093-3656
Phone Number
972-596-6800
Fax Number
Provider Enumeration Date
05/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
83R231 01 TX COLLIN COUNTY PTAN
142242002 05 TX
institution
Provider Business Practice Location Address Details
Address
3901 W 15Th St
City
Plano
State
Texas
Zip
75075
Phone Number
972-596-6800
Fax Number
person
Provider Business Mailing Address Details
Address
3901 W 15Th St
City
Plano
State
Texas
Zip
75075
Phone Number
972-596-6800
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
L1700 (Texas)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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