Healthcare Provider Details

I. General information

NPI: 1679870554
Provider Name (Legal Business Name): AARON CHEN MING HUANG D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/11/2011
Last Update Date: 01/13/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4000 SPENCER HWY
PASADENA TX
77504-1202
US

IV. Provider business mailing address

PO BOX 3945 DEPT 841
HOUSTON TX
77253-3945
US

V. Phone/Fax

Practice location:
  • Phone: 713-359-2000
  • Fax: 713-359-1004
Mailing address:
  • Phone: 281-358-8114
  • Fax: 281-358-0609

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number10684
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberP2872
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: