NEPENTHE IRWIN FONG

DALLAS, TX
NPI1922185875
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085R0202X Radiology, Diagnostic Radiology
(Licence: WA  MD60441577)
Additional Taxonomies2085R0202X Radiology, Diagnostic Radiology
(Licence: CT  66519)
2085R0202X Radiology, Diagnostic Radiology
(Licence: KY  54598)
2085R0202X Radiology, Diagnostic Radiology
(Licence: KY  TP637)
2085R0202X Radiology, Diagnostic Radiology
(Licence: TX  R9353)
Enumeration Date2006-10-31
Last Update Date2024-09-10
Business Address
NEPENTHE IRWIN FONG MD
2825 OAK LAWN AVE UNIT 300309
DALLAS, TX 75219-4102
Phone number: 844-389-5711
Mailing Address
NEPENTHE IRWIN FONG MD
2825 OAK LAWN AVE UNIT 192749
DALLAS, TX 75219-4688
Phone number: 510-683-9500