MEDICARE: DR. MICHAEL HU M.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
1	207R00000X	Internal Medicine Physician	Q0937	TX
2	208000000X	Pediatrics Physician	Q0937	TX

General Provider Information

NPI Number	:	1962728451
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL HU M.D.

Provider Business Mailing Address
First Line	:	208 S AKARD ST STE PC-50
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75202-4206
Country	:	US
Telephone Number	:	469-490-3119
Fax Number	:	469-490-3132

Provider Business Practice Location Address
First Line	:	208 S AKARD ST STE PC-50
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75202-4206
Country	:	US
Telephone Number	:	469-490-3119
Fax Number	:	469-490-3132

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

Provider Enumeration Date	:	04/09/2010
Last Update Date	:	08/19/2021

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