Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Edilisa Lu Ong

Individual provider Pediatrics Physician · NPI 1922730910

Edilisa Lu Ong is a Pediatric Medicine in Tyler, Texas. Qualified in 2013, 13 years ago. Licensed in Texas.

Years since qualifying
13
Licensed in
TX
In the registry since
2022
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Practice location Address checks out

1000 E 5th St Ste 400
Tyler, TX 75701-3362
Phone: (903) 590-5000
Fax: (903) 747-4200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence V8715 (TX)

Record details

NPI number1922730910
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 28, 2022
Last updated in NPPESFebruary 11, 2026
Certification dateFebruary 11, 2026
Mailing address1000 E 5th St Ste 400, Tyler, TX 75701-3362

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Accepts Medicare assignment Not indicated

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