Healthcare Provider Details

I. General information

NPI: 1053605295
Provider Name (Legal Business Name): ALBERT YUNG-HSIANG HUANG M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/06/2011
Last Update Date: 06/06/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6565 FANNIN ST MGJ9-002
HOUSTON TX
77030-2703
US

IV. Provider business mailing address

6565 FANNIN ST MGJ9-002
HOUSTON TX
77030-2703
US

V. Phone/Fax

Practice location:
  • Phone: 713-441-6172
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberBP10040666
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: