Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0000X | Internist - Cardiovascular Disease | 35-092689 | OH |
N | 207RC0000X | Internist - Cardiovascular Disease | 4301084739 | MI |
N | 207RC0000X | Internist - Cardiovascular Disease | N1682 | TX |
N | 207RC0001X | Clinical Cardiac Electrophysiologist | 4301084739 | MI |
Y | 207RC0001X | Clinical Cardiac Electrophysiologist | N1682 | TX |
NPI | 1073710067 |
---|---|
Provider Name | Dr. Mauricio Hong |
First Address | Austin, TX 78701-1926 |
Second Address | Austin, TX 78705-1000 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/07/2007 |
Last Update Date | 12/12/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2941482 | (05) | OH |
323947701 | (05) | TX |
323947702 | (05) | TX |
323947703 | (05) | TX |
323947704 | (05) | TX |
8DW971 | BCBS (01) | TX |
8ET188 | BCBS (01) | TX |