Provider Demographics
NPI:1336577287
Name:ONG, EE SING ANGELA (ACNP)
Entity Type:Individual
Prefix:MISS
First Name:EE SING
Middle Name:ANGELA
Last Name:ONG
Suffix:
Gender:F
Credentials:ACNP
Other - Prefix:MISS
Other - First Name:ANGELA
Other - Middle Name:
Other - Last Name:ONG
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:ACNP-BC
Mailing Address - Street 1:7703 FLOYD CURL DR # MC7977
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-3901
Mailing Address - Country:US
Mailing Address - Phone:210-358-4000
Mailing Address - Fax:
Practice Address - Street 1:16620 N US HIGHWAY 281 STE 300
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78232-2679
Practice Address - Country:US
Practice Address - Phone:210-309-1405
Practice Address - Fax:210-688-4596
Is Sole Proprietor?:No
Enumeration Date:2013-10-30
Last Update Date:2019-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP124609363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX334363401Medicaid
TX334363404Medicaid