Healthcare Provider Details

I. General information

NPI: 1891802484
Provider Name (Legal Business Name): SHOEI-KUEN HUANG M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/23/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3809 SKYLINE DR
PLANO TX
75025-2034
US

IV. Provider business mailing address

PO BOX 25057
PLANO TX
75025-0507
US

V. Phone/Fax

Practice location:
  • Phone: 972-398-0713
  • Fax:
Mailing address:
  • Phone: 972-398-0713
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number60571
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: