MEDICARE: DR. JORDAN HUANG MD

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	207LP3000X	Pediatric Anesthesiology Physician	W0925	TX

General Provider Information

NPI Number	:	1851895346
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JORDAN HUANG MD

Provider Business Mailing Address
First Line	:	6551 MAIN ST
Second Line	:	RM E.1940.14
City	:	HOUSTON
State	:	TX
Zip	:	77030
Country	:	US
Telephone Number	:	832-824-5800
Fax Number	:

Provider Business Practice Location Address
First Line	:	6551 MAIN ST
Second Line	:	RM E.1940.14
City	:	HOUSTON
State	:	TX
Zip	:	77030
Country	:	US
Telephone Number	:	832-824-5800
Fax Number	:

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

Provider Enumeration Date	:	03/20/2018
Last Update Date	:	09/15/2025

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