Individual
JULIE ANN OMEGA ONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
13601 PRESTON RD, SUITE 1000W, DALLAS, TX 75240-4911
(972) 715-5000
Mailing address
PO BOX 840853, DALLAS, TX 75284-0853
(972) 233-1999
(972) 233-3666
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
693896
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
AP117550
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
199890801
—
TX
05
—
199890802
—
TX
05
—
199890803
—
TX
01
—
8005UA
BCBS
TX
01
—
89832U
BLUE CROSS BLUE SHIELD
TX
01
—
P00957356
RR MEDICARE
TX
Enumeration date
02/05/2009
Last updated
10/06/2021
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