Healthcare Provider Details

I. General information

NPI: 1609447556
Provider Name (Legal Business Name): KATIE HUANG
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/01/2021
Last Update Date: 07/01/2021
Certification Date: 06/24/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1515 HOLCOMBE BLVD UNIT 1354
HOUSTON TX
77030-4000
US

IV. Provider business mailing address

1515 HOLCOMBE BLVD UNIT 1354
HOUSTON TX
77030-4000
US

V. Phone/Fax

Practice location:
  • Phone: 713-745-7391
  • Fax:
Mailing address:
  • Phone: 713-591-6554
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code170300000X
TaxonomyGenetic Counselor (M.S.)
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: