Healthcare Provider Details

I. General information

NPI: 1316012123
Provider Name (Legal Business Name): ANDY K HUANG DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/21/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9025 RESEARCH BLVD SUITE 250
AUSTIN TX
78758-7010
US

IV. Provider business mailing address

3701 KIRBY DR SUITE 550
HOUSTON TX
77098-3900
US

V. Phone/Fax

Practice location:
  • Phone: 512-836-7576
  • Fax: 512-836-3181
Mailing address:
  • Phone: 512-836-7576
  • Fax: 512-836-3181

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number22407
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: