Healthcare Provider Details

I. General information

NPI: 1356510515
Provider Name (Legal Business Name): CONWAY CANHUI HUANG MD, PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: CANHUI HUANG MD, PHD

II. Dates (important events)

Enumeration Date: 02/21/2008
Last Update Date: 12/17/2024
Certification Date: 12/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 W CENTRAL TEXAS EXPY STE 290
HARKER HEIGHTS TX
76548-1991
US

IV. Provider business mailing address

1908 N LAURENT ST STE 410
VICTORIA TX
77901-5469
US

V. Phone/Fax

Practice location:
  • Phone: 254-618-1151
  • Fax: 254-618-1158
Mailing address:
  • Phone: 361-572-0333
  • Fax: 361-371-7090

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License NumberN0842
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: