Individual
CHACY EMMANUEL ONG LLIDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
400 N EASTERN AVE, MOORE, OK 73160-5833
(405) 757-7818
(405) 706-0645
Mailing address
PO BOX 891625, OKLAHOMA CITY, OK 73189-1625
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
OK
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/10/2025
Last updated
04/29/2026
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