Healthcare Provider Details

I. General information

NPI: 1801599154
Provider Name (Legal Business Name): CHIH-CHI HUANG
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/24/2023
Last Update Date: 03/24/2023
Certification Date: 03/24/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

117 W DAVIS AVE APT 7
WEATHERFORD OK
73096-3148
US

IV. Provider business mailing address

117 W DAVIS AVE APT 7
WEATHERFORD OK
73096-3148
US

V. Phone/Fax

Practice location:
  • Phone: 580-340-6105
  • Fax:
Mailing address:
  • Phone: 580-340-6105
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code225A00000X
TaxonomyMusic Therapist
License Number54
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: