Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Y00000X | Otolaryngologist (ENT Doctor) | BP20023425 | TX |
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | N5923 | TX |
N | 207YP0228X | Pediatric Otolaryngology | BP20023425 | TX |
NPI | 1992935464 |
---|---|
Provider Name | Dr. Julina Ongkasuwan |
First Address | Houston, TX 77030-2316 |
Second Address | Houston, TX 77030-2316 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/07/2009 |
Last Update Date | 20/11/2020 |