Healthcare Provider Details

I. General information

NPI: 1033232574
Provider Name (Legal Business Name): JUNN-MING HUANG D.D.S.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/09/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1066 HERCULES AVE
HOUSTON TX
77058-2722
US

IV. Provider business mailing address

1066 HERCULES AVE
HOUSTON TX
77058-2722
US

V. Phone/Fax

Practice location:
  • Phone: 281-218-8400
  • Fax: 281-486-0824
Mailing address:
  • Phone: 281-218-8400
  • Fax: 281-486-0824

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number19528
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: