Healthcare Provider Details

I. General information

NPI: 1205751120
Provider Name (Legal Business Name): HUAXIN GROUP LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

814 KATY FORT BEND RD STE 400
KATY TX
77494-7825
US

IV. Provider business mailing address

814 KATY FORT BEND RD STE 400
KATY TX
77494-7825
US

V. Phone/Fax

Practice location:
  • Phone: 346-691-1195
  • Fax:
Mailing address:
  • Phone: 346-691-1195
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State

VIII. Authorized Official

Name: SAM WAN
Title or Position: PRESIDENT / MANAGER
Credential: CMT
Phone: 346-691-1195