Provider Demographics
NPI:1912450628
Name:ONG, ANDREW S (FNP-C)
Entity Type:Individual
Prefix:
First Name:ANDREW
Middle Name:S
Last Name:ONG
Suffix:
Gender:M
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3243 SOUTHMOST RD
Mailing Address - Street 2:
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78521-4857
Mailing Address - Country:US
Mailing Address - Phone:956-545-0818
Mailing Address - Fax:818-322-0144
Practice Address - Street 1:3243 SOUTHMOST RD
Practice Address - Street 2:
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78521-4857
Practice Address - Country:US
Practice Address - Phone:956-832-3993
Practice Address - Fax:818-322-0144
Is Sole Proprietor?:No
Enumeration Date:2016-07-28
Last Update Date:2023-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP131597363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily