Provider Demographics
NPI:1376734566
Name:WONG, HOWARD LELAND (MD)
Entity Type:Individual
Prefix:DR
First Name:HOWARD
Middle Name:LELAND
Last Name:WONG
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 1:943 NAPOLI CT
Mailing Address - Street 2:
Mailing Address - City:LEAGUE CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77573-1497
Mailing Address - Country:US
Mailing Address - Phone:281-724-0863
Mailing Address - Fax:
Practice Address - Street 1:820 CEDAR ST
Practice Address - Street 2:
Practice Address - City:LEAVENWORTH
Practice Address - State:WA
Practice Address - Zip Code:98826-1212
Practice Address - Country:US
Practice Address - Phone:360-322-8254
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-05
Last Update Date:2024-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN91492084P0800X, 2084P0804X
CAA1416452084P0804X
WAMD609001642084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry