Healthcare Provider Details

I. General information

NPI: 1255605549
Provider Name (Legal Business Name): ISABEL HUANG M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ISABEL CHAN M.D.

II. Dates (important events)

Enumeration Date: 03/04/2012
Last Update Date: 06/24/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5151 HARRY HINES BLVD
DALLAS TX
75235-7707
US

IV. Provider business mailing address

5323 HARRY HINES BLVD
DALLAS TX
75235
US

V. Phone/Fax

Practice location:
  • Phone: 214-648-2625
  • Fax:
Mailing address:
  • Phone: 513-288-9469
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License NumberBP10039888
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License NumberQ3861
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: