Healthcare Provider Details

I. General information

NPI: 1184720807
Provider Name (Legal Business Name): CHEN I HUANG M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/16/2006
Last Update Date: 01/22/2025
Certification Date: 01/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

620 N MAIN ST
HARRISON AR
72601-2911
US

IV. Provider business mailing address

620 N MAIN ST STE 2B
HARRISON AR
72601-2911
US

V. Phone/Fax

Practice location:
  • Phone: 870-414-4000
  • Fax: 870-414-4789
Mailing address:
  • Phone: 671-777-3305
  • Fax: 671-647-0878

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License NumberMTL-2010-003
License Number StateGU
# 2
Primary TaxonomyN
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License NumberM-1656
License Number StateGU
# 3
Primary TaxonomyN
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License Number35865
License Number StateAZ
# 4
Primary TaxonomyY
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License NumberE18742
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: