Healthcare Provider Details

I. General information

NPI: 1831753607
Provider Name (Legal Business Name): HSIN-WEI HUANG AU.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/26/2019
Last Update Date: 06/05/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6801 ROGERS AVE STE 4TH
FORT SMITH AR
72903-4067
US

IV. Provider business mailing address

6801 ROGERS AVE STE 4TH
FORT SMITH AR
72903-4067
US

V. Phone/Fax

Practice location:
  • Phone: 479-274-3900
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number200603
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: