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NPI Code Detail

MEDICARE: RICHARD YI-JEN HWANG M.D., PH.D.

MEDICARE: RICHARD YI-JEN HWANG M.D., PH.D.
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
1207W00000XOphthalmology PhysicianDR.0053359CO
2207WX0107XRetina Specialist (Ophthalmology) PhysicianMD2016-0149NM
3390200000XStudent in an Organized Health Care Education/Training Program
4207WX0107XRetina Specialist (Ophthalmology) PhysicianQ9382TX

General Provider Information

NPI Number : 1548587769
Entity Type Code : Individual
Provider Name (Legal Business Name) : RICHARD YI-JEN HWANG M.D., PH.D.
Provider Business Mailing Address
First Line : 1700 CURIE DR STE 3800
Second Line :
City : EL PASO
State : TX
Zip : 79902-2985
Country : US
Telephone Number : 915-532-3912
Fax Number : 915-543-9196
Provider Business Practice Location Address
First Line : 1700 CURIE DR STE 3800
Second Line :
City : EL PASO
State : TX
Zip : 79902-2985
Country : US
Telephone Number : 915-532-3912
Fax Number : 915-543-9196
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/28/2010
Last Update Date : 06/17/2020

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