Healthcare Provider Details

I. General information

NPI: 1710329677
Provider Name (Legal Business Name): YING HUANG
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/20/2013
Last Update Date: 07/20/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20118 STANDISH RD
SAN ANTONIO TX
78258-3007
US

IV. Provider business mailing address

20118 STANDISH RD
SAN ANTONIO TX
78258-3007
US

V. Phone/Fax

Practice location:
  • Phone: 210-309-7585
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number818408
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: