Healthcare Provider Details

I. General information

NPI: 1437485075
Provider Name (Legal Business Name): BETSY HUANG MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/01/2009
Last Update Date: 03/04/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

98 E LAKE MEAD PKWY SUITE 103
HENDERSON NV
89015-5540
US

IV. Provider business mailing address

3325 RESEARCH WAY
CARSON CITY NV
89706-7913
US

V. Phone/Fax

Practice location:
  • Phone: 702-868-0327
  • Fax: 702-868-0290
Mailing address:
  • Phone: 775-888-6610
  • Fax: 775-888-4904

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number13929
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: