Healthcare Provider Details
I. General information
NPI: 1831288208
Provider Name (Legal Business Name): WILLIAM HUANG MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 10/12/2006
Last Update Date: 12/10/2018
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3701 KIRBY DR STE 100
HOUSTON TX
77098-3921
US
IV. Provider business mailing address
3701 KIRBY DR STE 100
HOUSTON TX
77098-3921
US
V. Phone/Fax
- Phone: 713-798-7700
- Fax: 713-798-7755
- Phone: 713-798-7700
- Fax: 713-798-7775
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | G4473 |
| License Number State | TX |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: