Provider Demographics
NPI:1851471437
Name:ONDO, WILLIAM G (MD)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:G
Last Name:ONDO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6560 FANNIN ST
Mailing Address - Street 2:SUITE 802
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-2761
Mailing Address - Country:US
Mailing Address - Phone:713-441-3780
Mailing Address - Fax:713-790-6468
Practice Address - Street 1:6560 FANNIN ST
Practice Address - Street 2:SUITE 802
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2761
Practice Address - Country:US
Practice Address - Phone:713-441-3780
Practice Address - Fax:713-790-6468
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2017-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK09692084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8FG294OtherBLUE CROSS BLUE SHIELD
TX089906407Medicaid
TX089906401Medicaid
TX089906403Medicaid
TX089906408Medicaid
TXP01556699OtherRR MEDICARE
TXP01556699OtherRR MEDICARE
TX8FG294OtherBLUE CROSS BLUE SHIELD
TXTXB116571Medicare PIN
824657Medicare PIN
82054KMedicare PIN
TX089906408Medicaid
130023279Medicare PIN