Individual
DARRYL ONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1500 S MAIN ST FL 2, FORT WORTH, TX 76104-4917
(817) 702-3431
Mailing address
3501 MILLS AVE, AUSTIN, TX 78731-6309
(512) 324-2036
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
T40202
TX
390200000X
Student in an Organized Health Care Education/Training Program
BP10063946
TX
Other
Enumeration date
04/08/2018
Last updated
03/16/2022
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