Healthcare Provider Details

I. General information

NPI: 1194995571
Provider Name (Legal Business Name): LLOYD HUANG MD PLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/03/2008
Last Update Date: 03/21/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

330 22ND AVENUE NORTH
NASHVILLE TN
37203
US

IV. Provider business mailing address

3507 CHARLOTTE AVE
NASHVILLE TN
37209-3936
US

V. Phone/Fax

Practice location:
  • Phone: 615-369-6500
  • Fax:
Mailing address:
  • Phone: 615-329-3384
  • Fax: 615-953-3420

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number17389
License Number StateTN

VIII. Authorized Official

Name: LLOYD HUANG
Title or Position: OWNER
Credential: M.D.
Phone: 615-329-3384