Healthcare Provider Details

I. General information

NPI: 1992832927
Provider Name (Legal Business Name): PHILIP H HUANG M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/27/2007
Last Update Date: 10/30/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6900 NORTH PECOS ROAD
NORTH LAS VEGAS NV
89086
US

IV. Provider business mailing address

6900 NORTH PECOS ROAD
NORTH LAS VEGAS NV
89086
US

V. Phone/Fax

Practice location:
  • Phone: 702-791-9000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number41180
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: