Provider Demographics
NPI:1265764328
Name:ALBERT M. ONG M.D., P.A.
Entity type:Organization
Organization Name:ALBERT M. ONG M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ALBERT
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:ONG
Authorized Official - Suffix:I
Authorized Official - Credentials:MD
Authorized Official - Phone:409-832-8608
Mailing Address - Street 1:PO BOX 13036
Mailing Address - Street 2:
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77726-3036
Mailing Address - Country:US
Mailing Address - Phone:409-832-8608
Mailing Address - Fax:
Practice Address - Street 1:740 HOSPITAL DR STE 100
Practice Address - Street 2:
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77701-4663
Practice Address - Country:US
Practice Address - Phone:409-832-8608
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-01
Last Update Date:2010-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM3052208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX612262Medicare UPIN