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Individual

WILLIE C TEO ONG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
844 CENTRAL BLVD STE 280, BROWNSVILLE, TX 78520-7512
(956) 281-0945
Mailing address
7624 WARREN PKWY, FRISCO, TX 75034-4158

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
166405401
TX
Enumeration date
06/28/2005
Last updated
12/02/2020
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