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

Dr. Rudolph Jou Wong, MD

Individual provider Pediatrics Physician · NPI 1639563604

Dr. Rudolph Jou Wong, MD is a Pediatrics Physician in Dallas, Texas. Works from 2 locations. Licensed in Arizona and Texas.

Licensed in
AZ, TX
In the registry since
2015
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

7777 Forest Ln Ste C300J
Dallas, TX 75230-2604
Phone: (972) 566-2043
Fax: (972) 566-7437
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1919 E Thomas Rd, Phoenix, AZ 85016-7710 — (602) 933-1000

Specialties & licences

Pediatric Critical Care Medicine Physician (primary) Taxonomy 2080P0203X · Licence R5230 (TX)
Pediatrics Physician Taxonomy 208000000X · Licence 55855 (AZ)
Pediatric Critical Care Medicine Physician Taxonomy 2080P0203X · Licence 55855 (AZ)

Record details

NPI number1639563604
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 26, 2015
Last updated in NPPESApril 7, 2023
Certification dateApril 7, 2023

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