Provider Demographics
NPI:1952748212
Name:ONG, TWILA CUAYZON
Entity Type:Individual
Prefix:MISS
First Name:TWILA
Middle Name:CUAYZON
Last Name:ONG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1220 WINNIE ST
Mailing Address - Street 2:
Mailing Address - City:GALVESTON
Mailing Address - State:TX
Mailing Address - Zip Code:77550-5014
Mailing Address - Country:US
Mailing Address - Phone:409-772-2025
Mailing Address - Fax:
Practice Address - Street 1:301 UNIVERSITY BOULEVARD
Practice Address - Street 2:
Practice Address - City:GALVESTON
Practice Address - State:TX
Practice Address - Zip Code:77550-0526
Practice Address - Country:US
Practice Address - Phone:409-772-2025
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-05-28
Last Update Date:2013-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX730805363LN0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LN0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal