Healthcare Provider Details

I. General information

NPI: 1265061022
Provider Name (Legal Business Name): ANN HU PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/03/2020
Last Update Date: 01/15/2024
Certification Date: 01/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5211 FM 2920 RD
SPRING TX
77388-3004
US

IV. Provider business mailing address

5211 FM 2920 RD
SPRING TX
77388-3004
US

V. Phone/Fax

Practice location:
  • Phone: 281-783-8162
  • Fax: 281-895-3083
Mailing address:
  • Phone: 281-783-8162
  • Fax: 281-895-3083

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA15782
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: