Healthcare Provider Details

I. General information

NPI: 1982921334
Provider Name (Legal Business Name): HE HUANG M.D.,PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/26/2010
Last Update Date: 09/02/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3500 GASTON AVE BAYLOR UNIVERSITY MEDICAL CENTER, PATHOLOGY
DALLAS TX
75246-2017
US

IV. Provider business mailing address

3500 GASTON AVE BAYLOR UNIVERSITY MEDICAL CENTER, PATHOLOGY
DALLAS TX
75246-2017
US

V. Phone/Fax

Practice location:
  • Phone: 214-820-2251
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License NumberQ8912
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: