ILSONG JASON CHONG, M.D.,P.A.
Osteopathic Medicine at Ella Blvd, Houston, TX

License number
Texas K4025
Category
Osteopathic Medicine
Type
Geriatric Medicine
Owner
Name: DR. ILSONG JASON CHONG M.D.
Title: PRESIDENT
Phone: (713) 861-5000
Address
Address
2410 Ella Blvd SUITE B, Houston, TX 77008
National Provider ID: 1063698934
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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ILSONG JASON CHONG, M.D. PA

Houston, TX

Registration:
Apr 5, 2002
Addresses:
6200 Savoy Dr STE 900, Houston, TX 77036 (Mailing)
2410 Ella Blvd, Houston, TX 77008
State ID:
0800072146
Business type:
Professional Association
President, Director, Member:
Ilsong J. Chong (President, Director, Member)
TIN:
32035910028

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