Healthcare Provider Details

I. General information

NPI: 1225957103
Provider Name (Legal Business Name): HNI PHYSICIAN SERVICES OF RHODE ISLAND, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/14/2026
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 MAUDE ST
PROVIDENCE RI
02908-4325
US

IV. Provider business mailing address

7500 RIALTO BLVD
AUSTIN TX
78735-8531
US

V. Phone/Fax

Practice location:
  • Phone: 401-456-2690
  • Fax:
Mailing address:
  • Phone: 512-730-3060
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number
License Number State

VIII. Authorized Official

Name: OON SOO UNG
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 512-730-3060