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Organization

WILLIE TEO ONG, MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. ESMERALDA SIERRA (MEDICAL BILLER/CREDENITALING)
(956) 548-0077
Entity
Organization

Contact information

Practice address
844 CENTRAL BLVD STE 370, BROWNSVILLE, TX 78520-7512
(956) 548-0077
(956) 548-2312
Mailing address
844 CENTRAL BLVD STE 370, BROWNSVILLE, TX 78520-7512
(956) 548-0077
(956) 548-2312

Taxonomy

Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
K1094
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
DD1638
RAILROAD MEDICARE
TX
Enumeration date
09/10/2007
Last updated
02/19/2008
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