Provider Demographics
NPI:1285698654
Name:WONG, MICHELLE SUN-MEE (MD)
Entity type:Individual
Prefix:DR
First Name:MICHELLE
Middle Name:SUN-MEE
Last Name:WONG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:MICHELLE
Other - Middle Name:SUN-MEE
Other - Last Name:KIM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:17510 W. GRAND PARKWAY S.
Mailing Address - Street 2:SUITE #430
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479
Mailing Address - Country:US
Mailing Address - Phone:713-486-1250
Mailing Address - Fax:832-945-3159
Practice Address - Street 1:17510 W. GRAND PKWY S.
Practice Address - Street 2:SUITE #430
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479
Practice Address - Country:US
Practice Address - Phone:713-486-1250
Practice Address - Fax:832-945-3159
Is Sole Proprietor?:No
Enumeration Date:2006-04-13
Last Update Date:2017-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN7034207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology