Provider Demographics
NPI:1467608240
Name:ONG, NGOC-TUYEN
Entity Type:Individual
Prefix:DR
First Name:NGOC-TUYEN
Middle Name:
Last Name:ONG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6018 FM 3009 STE 114
Mailing Address - Street 2:
Mailing Address - City:SCHERTZ
Mailing Address - State:TX
Mailing Address - Zip Code:78154-3233
Mailing Address - Country:US
Mailing Address - Phone:210-651-1919
Mailing Address - Fax:210-651-1922
Practice Address - Street 1:6018 FM 3009 STE 114
Practice Address - Street 2:
Practice Address - City:SCHERTZ
Practice Address - State:TX
Practice Address - Zip Code:78154-3233
Practice Address - Country:US
Practice Address - Phone:210-651-1919
Practice Address - Fax:210-651-1922
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-13
Last Update Date:2008-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX218971223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice