Healthcare Provider Details

I. General information

NPI: 1790862308
Provider Name (Legal Business Name): JOHN CHUNG LUN HUANG D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/01/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11231 RICHMOND AVE STE D100A
HOUSTON TX
77082-6656
US

IV. Provider business mailing address

11231 RICHMOND AVE STE D100A
HOUSTON TX
77082-6656
US

V. Phone/Fax

Practice location:
  • Phone: 281-493-6886
  • Fax: 281-493-6811
Mailing address:
  • Phone: 281-493-6886
  • Fax: 281-493-6811

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number10014
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: