Healthcare Provider Details

I. General information

NPI: 1629279146
Provider Name (Legal Business Name): RICHARD ALBERT HUANG M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/31/2007
Last Update Date: 10/05/2023
Certification Date: 10/05/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1133 JOHN FREEMAN BLVD. JJL 285A
HOUSTON TX
77030
US

IV. Provider business mailing address

1133 JOHN FREEMAN BLVD. JJL 285A
HOUSTON TX
77030
US

V. Phone/Fax

Practice location:
  • Phone: 713-500-5874
  • Fax: 713-500-0590
Mailing address:
  • Phone: 713-500-5874
  • Fax: 713-500-0590

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number036.130379
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License NumberN9070
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: