Healthcare Provider Details

I. General information

NPI: 1376574624
Provider Name (Legal Business Name): JIMMY CHUNG-SHWUN HUANG M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: JIMMY CHUNG-SHWUN HUANG MD

II. Dates (important events)

Enumeration Date: 07/05/2006
Last Update Date: 09/23/2025
Certification Date: 09/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 W ARBROOK BLVD
ARLINGTON TX
76014-3701
US

IV. Provider business mailing address

700 E MOREHEAD ST STE 300
CHARLOTTE NC
28202-2742
US

V. Phone/Fax

Practice location:
  • Phone: 817-472-0840
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberW0603
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberA77455
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: