Provider Demographics
NPI:1043767759
Name:WONG, FERRARI CHUN YU
Entity Type:Individual
Prefix:
First Name:FERRARI
Middle Name:CHUN YU
Last Name:WONG
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5322 BRAESHEATHER DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77096-4110
Mailing Address - Country:US
Mailing Address - Phone:832-455-6940
Mailing Address - Fax:
Practice Address - Street 1:10420 FM 1464 RD
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77407-2044
Practice Address - Country:US
Practice Address - Phone:281-240-0123
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-10
Last Update Date:2022-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX59433183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX59433OtherTEXAS STATE BOARD OF PHARMACY