Ilsong Jason Chong, M.D.,P.A.

LBN: Ilsong Jason Chong, M.D.,P.A.
Ilsong Jason Chong, M.D.,P.A. is an health care organization with primary practice located at 2410 Ella Blvd Suite B, Houston TX 77008-2710. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as the primary health care specialty. Ilsong Jason Chong, M.D.,P.A. can be contacted via phone (713) 861-5000, or through Chong, Ilsong Jason via phone (713) 861-5000.

Contact Information

Primary practice address
2410 Ella Blvd Suite B Houston TX 77008-2710
Phone: (713) 861-5000
Fax: (713) 861-5040
Website:
Map and Directions
Authorized official contact:
Name: Chong, Ilsong Jason Doctor of Medicine (MD)
Phone: (713) 861-5000

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X K4025 Texas

Profile Details

NPI number 1063698934
LBN Legal business name Ilsong Jason Chong, M.D.,P.A.
DBA Doing business as
Authorized official Chong, Ilsong Jason Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 10th, 2008
Last updated Oct 14th, 2009 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063698934 NPPES
Other 0089HL BLUE CROSS
MEDICAID 157500301 BLUE CROSS

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