MEDICARE: DR. MAX TZE-HAN HUANG D.D.S. 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
1	390200000X	Student in an Organized Health Care Education/Training Program
2	122300000X	Dentist	33597	TX

General Provider Information

NPI Number	:	1982016069
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MAX TZE-HAN HUANG D.D.S. PH.D.

Provider Business Mailing Address
First Line	:	9425 LONDON BRIDGE STA
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77045-4644
Country	:	US
Telephone Number	:	832-515-3387
Fax Number	:

Provider Business Practice Location Address
First Line	:	9425 LONDON BRIDGE STA
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77045-4644
Country	:	US
Telephone Number	:	832-515-3387
Fax Number	:

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

Provider Enumeration Date	:	05/23/2014
Last Update Date	:	03/05/2021

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