Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Derrick Wong

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1811696693

Derrick Wong is a Student in an Organized Health Care Education/Training Program in San Antonio, Texas. Practices as a sole proprietor and works from 2 locations. Licensed in Texas.

Licensed in
TX
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

1901 Babcock Rd Ste 201
San Antonio, TX 78229-4546
Phone: (903) 292-8131
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 8210 Floyd Curl Dr, San Antonio, TX 78229-3923 — (903) 292-8131

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 40431 (TX)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1811696693
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 1, 2023
Last updated in NPPESJanuary 6, 2025
Certification dateJanuary 6, 2025
Mailing address8911 Aransas Bay, San Antonio, TX 78229-2380

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