Organization
OCOTILLO REHAB MEDICINE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JON-MICHAEL RESURRECCION ONG MD (OWNER)
(713) 501-1461
Entity
Organization
Contact information
Practice address
330 W BEN WHITE BLVD, AUSTIN, TX 78704-8095
(512) 730-4800
(818) 671-2225
Mailing address
1317 BONHAM TER, AUSTIN, TX 78704-2606
(713) 501-1461
(818) 671-2225
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
06/23/2020
Last updated
06/23/2020
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