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Organization
SIDNEY ONTAI MD ASSOCIATION
Active
Organization
SIDNEY ONTAI MD ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SIDNEY CHARLES ONTAI MD (PRESIDENT)
(806) 293-2270
Entity
Organization
Contact information
Practice address
2606 YONKERS ST, STE 4, PLAINVIEW, TX 79072-1851
(806) 293-2270
(806) 293-5698
Mailing address
2606 YONKERS ST, STE 4, PLAINVIEW, TX 79072-1851
(806) 293-2270
(806) 293-5698
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
K7364
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0059DK
BLUE CROSS
TX
Enumeration date
11/14/2006
Last updated
08/22/2020
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