Provider Demographics
NPI:1689092611
Name:TONG, BOCHEN (MD)
Entity type:Individual
Prefix:DR
First Name:BOCHEN
Middle Name:
Last Name:TONG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7790 W GRAND PKWY S STE 100
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77406-5830
Mailing Address - Country:US
Mailing Address - Phone:281-214-8473
Mailing Address - Fax:281-214-8476
Practice Address - Street 1:7790 W GRAND PKWY S STE 100
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77406-5830
Practice Address - Country:US
Practice Address - Phone:281-214-8473
Practice Address - Fax:281-214-8476
Is Sole Proprietor?:No
Enumeration Date:2014-04-07
Last Update Date:2024-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXR5216207Q00000X, 207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine