MEDICARE: HOSUN HWANG M.D.

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	207XS0117X	Orthopaedic Surgery of the Spine Physician	A98908	CA
2	207XS0117X	Orthopaedic Surgery of the Spine Physician	M6206	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	P01070528	OTHER	TX	RR MEDICARE
14	P00998176	OTHER	TX	MEDICARE RR
15	P01258260	OTHER	TX	MEDICARE RR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	1770624793	OTHER	TX	BLUE CROSS BLUE SHIELD
5	610197301 CENTERFIEL	OTHER	TX	US DEPT OF LABOR
6	616771105	OTHER		US DEPT OF LABOR
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9	601771109	OTHER		US DEPT OF LABOR
10	610197302 FANNIN	OTHER	TX	US DEPT OF LABOR
11	616771101	OTHER		US DEPT OF LABOR
12	616771110	OTHER		US DEPT OF LABOR
13	8DY920	OTHER	TX	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1770624793
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HOSUN HWANG M.D.

Provider Business Mailing Address
First Line	:	18220 STATE HIGHWAY 249 STE 300
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77070-4370
Country	:	US
Telephone Number	:	281-737-0999
Fax Number	:	281-737-0926

Provider Business Practice Location Address
First Line	:	18220 STATE HIGHWAY 249 STE 300
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77070-4370
Country	:	US
Telephone Number	:	281-737-0999
Fax Number	:	281-737-0926

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

Provider Enumeration Date	:	02/11/2007
Last Update Date	:	03/17/2018

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Directions to “ HOSUN HWANG M.D.” Practice Location

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