DR. ANDREW WAE WONG (NPI# 1407172521) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407172521 |
| Entity Type | Individual |
| Full Name | DR. ANDREW WAE WONG |
| Credential | M.D. |
| Practice Address |
4402 Vance Jackson Rd Ste 214 San Antonio TX 78230 |
| Mailing Address |
4402 Vance Jackson Rd Ste 214 San Antonio TX 78230-5334 |
| Practice Telephone | 2109625557 |
| Practice Fax Number | 2109625558 |
| Mailing Telephone | 2109625557 |
| Mailing Fax Number | 2109625558 |
| Enumeration Date | 2010-04-14 |
| Last Update Date | 2018-07-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
R3619 | TX | Allopathic & Osteopathic Physicians |
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
0101258163 | VA | Allopathic & Osteopathic Physicians |
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
MD51275 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 1407172521 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710366232 | Andrew Wong | Internal Medicine | 111 S 11th St Ste 8290, Philadelphia, PA 19107-4824 | 2015-05-29 |
| 1043605132 | Andrew K Wong | Podiatrist | 831 56th St Fl 1, Brooklyn, NY 11220 | 2015-04-06 |
| 1619314796 | Andrew Wong | Family Medicine | 1929 W Fillmore St, Phoenix, AZ 85009-3812 | 2013-05-29 |
| 1508099938 | Andrew C Wong | Dentist | 3900 Newpark Mall Road, Suite 204, Newark, CA 94560-5241 | 2009-09-02 |
| 1639213150 | Andrew Leung-doon Wong | Internal Medicine | 4701 Sangamore Rd Ste N270, Bethesda, MD 20816-2528 | 2007-02-17 |
| 1851319834 | Andrew C Wong | General Practice | 259 Meridian Ave Ste 15, San Jose, CA 95126-2905 | 2006-07-17 |
| 1578543963 | Andrew Ki Wong | Internal Medicine | 3443 Villa Lane, Suite 2, Napa, CA 94558-6417 | 2006-01-20 |
| 1336756048 | Andrew Wong | Behavior Technician | 3745 Long Beach Blvd, Long Beach, CA 90807-3340 | 2020-09-26 |
| 1659981751 | Andrew Wong | Student in an Organized Health Care Education/Training Program | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2020-08-04 |
| 1922662105 | Andrew Wong | Physician Assistant | 800 Stanton L Young Blvd Ste 8400, Oklahoma City, OK 73104-5018 | 2019-04-23 |
| Street Address |
4402 VANCE JACKSON RD STE 214 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78230 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710408265 | Synaptoveda Pa | Clinic/Center | 4402 Vance Jackson Rd Ste 214, San Antonio, TX 78230-5334 | 2017-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184224834 | Natasha Bakunda | Nurse Practitioner | Fountainhead One Tower, 8200 Ih-10 West, Ste 317, San Antonio, TX 78230 | 2020-10-30 |
| 1154930568 | James Cory Vasquez | Pharmacist | 9900 Wurzbach Road, San Antonio, TX 78230 | 2020-07-31 |
| 1861033144 | Aspasia Amtsberg | Licensed Practical Nurse | 7710 W I-10, San Antonio, TX 78230 | 2019-10-08 |
| 1841840212 | Allison Danielle Davidson | Licensed Vocational Nurse | 7710 West, I-10, San Antonio, TX 78230 | 2019-09-17 |
| 1063062800 | Dalisa Kelly Bacon | Nurse's Aide | 7710 West I 10, San Antonio, TX 78230 | 2019-09-13 |
| 1952878134 | Yvette Turner | Licensed Practical Nurse | 4951 Woodstone Dr, Apt 615 Face 2, San Antonio, TX 78230 | 2018-10-25 |
| 1396226270 | Tammy Lynn Saldana | Registered Nurse | 7710 W I10, San Antonio, TX 78230 | 2018-08-28 |
| 1891275699 | Nina Lum Fru Baumgarten | Counselor | 7710 W1h 10, San Antonio, TX 78230 | 2018-08-21 |
| 1952880833 | Rebecca N Khorram | Speech-Language Pathologist | I-10 W 10609 Frontage Rd, 105, San Antonio, TX 78230 | 2018-08-10 |
| 1770071540 | Michael Allen Kent | Counselor | Northwest Atrium, 11550 West I-10, Suite 235, San Antonio, TX 78230 | 2018-04-27 |
| Find all providers in zip 78230 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427669712 | Nerve Track, Pllc | Psychiatry & Neurology | 17503 La Cantera Pkwy Ste 104-416, San Antonio, TX 78257-8207 | 2020-08-11 |
| 1619458403 | Neuropro of Texas | Psychiatry & Neurology | 2250 Red Rock Xing, San Antonio, TX 78245-3670 | 2018-08-28 |
| 1649669235 | Modk Monitoring Pllc | Psychiatry & Neurology | 4102 S New Braunfels Ave, Ste 110 #123, San Antonio, TX 78223-1707 | 2015-01-20 |
| 1972917888 | South Texas Neurology LLC | Psychiatry & Neurology | 115 Gallery Cir Ste 300, San Antonio, TX 78258-3388 | 2014-06-18 |
| 1245578459 | Neuroden, Pllc | Psychiatry & Neurology | 7113 San Pedro Avenue, #171, San Antonio, TX 78216 | 2013-01-23 |
| 1962749259 | Flag Ship Diagnostics, Pllc | Psychiatry & Neurology | 10730 Potranco Road, Suite 122 #185, San Antonio, TX 78251 | 2013-01-07 |
| 1740548569 | Mark Welborn | Psychiatry & Neurology | 22535 Lynridge Dr, San Antonio, TX 78260-7747 | 2012-04-30 |
| 1003122409 | B. Peyton Delaney, M. D. P.a. | Psychiatry & Neurology | 4499 Medical Dr Ste 122, San Antonio, TX 78229-3745 | 2010-08-23 |
| 1629382817 | Stop Sa, LLC | Psychiatry & Neurology | 3780 N.w. Loop 410, San Antonio, TX 78229 | 2010-07-30 |
| 1184944738 | Hannah Homafar | Psychiatry & Neurology | 4410 Medical Dr Ste 320, San Antonio, TX 78229-3749 | 2010-06-07 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78230 |
Please comment or provide details below to improve the information on DR. ANDREW WAE WONG.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.