Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | G5932 | TX |
NPI | 1033194709 |
---|---|
Provider Name | Chung-En Huang |
First Address | Dallas, TX 75237-3447 |
Second Address | Dallas, TX 75237-3447 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/12/2005 |
Last Update Date | 04/12/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
040002835 | MEDICARE RAILROAD (01) | TX |
10019261 | AMERIGROUP (01) | TX |
114357001 | (05) | TX |
114357002 | (05) | TX |
114357003 | VISTA STAR HEALTH PLAN (01) | TX |
11736 | PARKLAND (01) | TX |
751912167 | BCBS (01) | TX |
C17146 | (02) |