Kendall Wong (NPI# 1740369354, PAC ID# 6901716026) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1740369354 |
| PAC ID by PECOS | 6901716026 |
| Professional Enrollment ID | I20100503000828 |
| Full Name | Kendall Wong |
| Address |
500 N Adams Ave Suite 100 Odessa TX 79761-4621 |
| Phone Number | 4323322538 |
| Gender | M |
| Medical School | LOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE |
| Graduation Year | 1994 |
| Primary Specialty | INTERNAL MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450132 | MEDICAL CENTER HOSPITAL |
| 450661 | ODESSA REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 500 N Adams Ave, Suite 100, Odessa, TX 79761-4621 | 4323322538 |
| Street Address |
500 N ADAMS AVE SUITE 100 |
| City | ODESSA |
| State | TX |
| Zip | 79761-4621 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert F Demuro Jr. | Physician Assistant | Acute Orthopedic Care Specialists Pllc | 540 W 5 Th St, Suite 350, Odessa, TX 79761 |
| Ravi Medi | Psychiatry | 2626 Jbs Pkwy, C129, Odessa, TX 79761 | |
| Benjamin J Turnbow | Orthopedic Surgery | Acute Orthopedic Care Specialists Pllc | 540 W 5 Th St, Suite 350, Odessa, TX 79761 |
| Andrew M Allbright | Nurse Practitioner | Acute Orthopedic Care Specialists Pllc | 540 W 5 Th St, Suite 350, Odessa, TX 79761 |
| Brian W Griffin | Nurse Practitioner | Acute Orthopedic Care Specialists Pllc | 540 W 5 Th St, Suite 350, Odessa, TX 79761 |
| Brandon Joseph Pepper | Physical Therapy | Phytex Rehabilitation, LLC | 2525 N Grandview Ave, Suite 400, Odessa, TX 79761-1600 |
| David R Godino | Physical Therapy | Phytex Rehabilitation, LLC | 2525 N Grandview Ave, Suite 400, Odessa, TX 79761-1600 |
| Amber G Mcmullan | Physical Therapy | Phytex Rehabilitation, LLC | 2525 N Grandview Ave, Suite 400, Odessa, TX 79761-1600 |
| Joanie Marie Weber | Physical Therapy | Phytex Rehabilitation, LLC | 2525 N Grandview Ave, Suite 400, Odessa, TX 79761-1600 |
| Megan Leonard | Physical Therapy | Phytex Rehabilitation, LLC | 2525 N Grandview Ave, Suite 400, Odessa, TX 79761-1600 |
| Find all physicians in zip 79761 | |||
| City | ODESSA |
| Zip Code | 79761 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | ODESSA + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Kendall Wong.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.