MEDICARE: DR. HAO-CHIEH (JACK) HUANG D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	9233	TX

General Provider Information

NPI Number	:	1689635336
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HAO-CHIEH (JACK) HUANG D.C.

Provider Business Mailing Address
First Line	:	4100 W 15TH ST
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75093-5826
Country	:	US
Telephone Number	:	972-312-8000
Fax Number	:	972-312-8028

Provider Business Practice Location Address
First Line	:	4100 W 15TH ST;
Second Line	:	SUITE 103
City	:	PLANO
State	:	TX
Zip	:	75093-5826
Country	:	US
Telephone Number	:	972-312-8000
Fax Number	:	972-312-8028

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/31/2006
Last Update Date	:	04/17/2008

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