Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RP1001X | Pulmonary Disease | J7006 | TX |
NPI | 1013956176 |
---|---|
Provider Name | Dr. Benson Yu Huang |
First Address | Laredo, TX 78044-2889 |
Second Address | Laredo, TX 78041-5443 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/06/2006 |
Last Update Date | 08/05/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
123996409 | (05) | TX |
151708802 | (05) | TX |
F94337 | (02) | TX |