Provider Demographics
NPI:1013117530
Name:ONG, BRYAN ALLAN (MD)
Entity Type:Individual
Prefix:DR
First Name:BRYAN
Middle Name:ALLAN
Last Name:ONG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:7610 N STEMMONS FWY STE 600
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75247-4228
Mailing Address - Country:US
Mailing Address - Phone:214-689-5960
Mailing Address - Fax:469-713-8084
Practice Address - Street 1:7620 NE LOOP 820
Practice Address - Street 2:
Practice Address - City:NORTH RICHLAND HILLS
Practice Address - State:TX
Practice Address - Zip Code:76180-8302
Practice Address - Country:US
Practice Address - Phone:817-284-2693
Practice Address - Fax:817-284-1819
Is Sole Proprietor?:No
Enumeration Date:2007-07-23
Last Update Date:2020-09-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXP9105207RG0100X, 207RG0100X
OK28361207R00000X, 207RG0100X
KS04-34560207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8EN071OtherBCBS TX