Individual
EDILISA LU ONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 E 5TH ST STE 400, TYLER, TX 75701-3362
(903) 590-5000
(903) 747-4200
Mailing address
1000 E 5TH ST STE 400, TYLER, TX 75701-3362
(903) 590-5000
(903) 590-5005
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
V8715
TX
Other
Enumeration date
06/28/2022
Last updated
02/11/2026
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