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NPI Code Detail

MEDICARE: WENTIAN HUANG, MD, PHD, P.C.

MEDICARE: WENTIAN HUANG, MD, PHD, P.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QP2300XPrimary Care Clinic/CenterM1153TX
2207R00000XInternal Medicine PhysicianM1153TX

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2P00336515OTHERTXRR MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
18W7364OTHERTXBCBS
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1326237868
Entity Type Code : Organization
Provider Name (Legal Business Name) : WENTIAN HUANG, MD, PHD, P.C.
Provider Business Mailing Address
First Line : 3475 COLLINS BLVD
Second Line :
City : GARLAND
State : TX
Zip : 75044-3621
Country : US
Telephone Number : 972-530-5550
Fax Number : 972-530-3632
Provider Business Practice Location Address
First Line : 3475 COLLINS BLVD
Second Line :
City : GARLAND
State : TX
Zip : 75044-3621
Country : US
Telephone Number : 972-530-5550
Fax Number : 972-530-3632
Authorized Official
Title or Position : MD, PHD.
Name : WENTIAN HUANG
Credential :
Telephone Number : 972-530-5550
Provider Enumeration Date : 10/22/2007
Last Update Date : 05/24/2016

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