Healthcare Provider Details
I. General information
NPI: 1396896189
Provider Name (Legal Business Name): HOWARD JENG HUANG MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 01/16/2007
Last Update Date: 07/12/2023
Certification Date: 07/12/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6550 FANNIN ST STE 1101
HOUSTON TX
77030-2740
US
IV. Provider business mailing address
6550 FANNIN ST STE 1101
HOUSTON TX
77030-2740
US
V. Phone/Fax
- Phone: 713-441-2215
- Fax: 713-791-5043
- Phone: 713-441-2215
- Fax: 713-791-5043
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207RP1001X |
| Taxonomy | Pulmonary Disease Physician |
| License Number | 2004015374 |
| License Number State | MO |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RP1001X |
| Taxonomy | Pulmonary Disease Physician |
| License Number | L6069 |
| License Number State | TX |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: