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NPI Code Detail

MEDICARE: DR. JON-MICHAEL RESURRECCION ONG M.D.

MEDICARE: DR. JON-MICHAEL RESURRECCION ONG M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225400000XRehabilitation PractitionerBP20049135TX
2208100000XPhysical Medicine & Rehabilitation PhysicianS6909TX

General Provider Information

NPI Number : 1659686947
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JON-MICHAEL RESURRECCION ONG M.D.
Provider Business Mailing Address
First Line : 1129 LEONA ST
Second Line :
City : AUSTIN
State : TX
Zip : 78702-2726
Country : US
Telephone Number : 713-501-1461
Fax Number :
Provider Business Practice Location Address
First Line : 330 W BEN WHITE BLVD
Second Line :
City : AUSTIN
State : TX
Zip : 78704-8095
Country : US
Telephone Number : 512-730-4800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/11/2010
Last Update Date : 01/19/2024

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