Provider Demographics
NPI:1194782128
Name:TONG, KAI MING (MD)
Entity type:Individual
Prefix:MR
First Name:KAI
Middle Name:MING
Last Name:TONG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16116 STUEBNER AIRLINE #9
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77379
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:16116 STUEBNER AIRLINE #9
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77379
Practice Address - Country:US
Practice Address - Phone:281-376-8611
Practice Address - Fax:281-251-8631
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-26
Last Update Date:2008-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE8204208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX000R34OtherBCBS
TX139512111Medicaid
TX139512101Medicaid
1700425OtherUNITED
1700425OtherUNITED
B27031Medicare UPIN