MEDICARE: WENDY C HUANG MD

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
1	207PE0004X	Emergency Medical Services (Emergency Medicine) Physician	11091	NV

General Provider Information

NPI Number	:	1710947742
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WENDY C HUANG MD

Provider Business Mailing Address
First Line	:	1353 MINUET ST
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89052-6434
Country	:	US
Telephone Number	:	702-332-8102
Fax Number	:

Provider Business Practice Location Address
First Line	:	4700 LAS VEGAS BLVD N
Second Line	:	MIKE O'CALLAGHAN FEDERAL HOSPITAL
City	:	NELLIS AFB
State	:	NV
Zip	:	89191-6601
Country	:	US
Telephone Number	:	702-653-2344
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/24/2006
Last Update Date	:	04/01/2014

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