# OCOTILLO REHAB MEDICINE PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285250506
- **Authorized official:** JON-MICHAEL RESURRECCION ONG MD (OWNER)
- **Authorized official phone:** (713) 501-1461

## Contact information

- **Practice address:** 330 W BEN WHITE BLVD, AUSTIN, TX 78704-8095
- **Practice address phone:** (512) 730-4800
- **Practice address fax:** (818) 671-2225
- **Mailing address:** 1317 BONHAM TER, AUSTIN, TX 78704-2606
- **Mailing address phone:** (713) 501-1461
- **Mailing address fax:** (818) 671-2225

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/23/2020
- **Last updated:** 06/23/2020