Healthcare Provider Details
I. General information
NPI: 1487026209
Provider Name (Legal Business Name): HUANGS HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/21/2015
Last Update Date: 10/21/2015
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
740 E 20TH ST STE D
HOUSTON TX
77008
US
IV. Provider business mailing address
740 E 20TH ST STE D
HOUSTON TX
77008
US
V. Phone/Fax
- Phone: 281-826-6862
- Fax:
- Phone: 281-826-6862
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 173C00000X |
| Taxonomy | Reflexologist |
| License Number | |
| License Number State | TX |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225700000X |
| Taxonomy | Massage Therapist |
| License Number | MT115613 |
| License Number State | TX |
VIII. Authorized Official
Name:
WILLIAM
HUANG
Title or Position: MANAGER
Credential: LMT
Phone: 954-854-8284