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1679531313
EDWARD MICHAEL PONG
PLANO, TX
NPI
1679531313
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: TX L1700)
Enumeration Date
2006-05-03
Last Update Date
2023-09-11
Business Address
EDWARD MICHAEL PONG MD
3901 W 15TH ST
PLANO, TX 75075
Phone number: 972-596-6800
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Mailing Address
EDWARD MICHAEL PONG MD
1820 PRESTON PARK BLVD 1825
PLANO, TX 75093-3656
Phone number: 972-867-7862
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