Provider Demographics
NPI:1255337119
Name:ONG, LESTER (MD)
Entity type:Individual
Prefix:DR
First Name:LESTER
Middle Name:
Last Name:ONG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 RIVER NORTH BLVD
Mailing Address - Street 2:
Mailing Address - City:STEPHENVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:76401-1803
Mailing Address - Country:US
Mailing Address - Phone:254-968-6051
Mailing Address - Fax:254-968-4204
Practice Address - Street 1:150 RIVER NORTH BLVD
Practice Address - Street 2:
Practice Address - City:STEPHENVILLE
Practice Address - State:TX
Practice Address - Zip Code:76401-1803
Practice Address - Country:US
Practice Address - Phone:254-968-6051
Practice Address - Fax:254-968-4204
Is Sole Proprietor?:No
Enumeration Date:2005-06-24
Last Update Date:2022-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK1603207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN120735100OtherFIRST CARE PROVIDER NUMBE
TX12285169OtherTRICARE/CHAMPUS PROV NO
TX4569284OtherAETNA PROVIDER NUMBER
TN83Y184OtherBCBS PROVIDER NUMBER
TX110136569OtherRAILROAD MEDICARE PROV NO
TX141953905OtherUNITED HEALTHCARE PROV NO
TX042755101Medicaid
TX7369694001OtherCIGNA PROVIDER NUMBER
TX7369694001OtherCIGNA PROVIDER NUMBER
TX12285169OtherTRICARE/CHAMPUS PROV NO