Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223S0112X | Oral and Maxillofacial Surgeon | 32912 | TX |
N | 204E00000X | Oral & Maxillofacial Surgeon | R3107 | TX |
NPI | 1316234222 |
---|---|
Provider Name | Dr. Michael Fei Huang |
First Address | Houston, TX 77030-2753 |
Second Address | Katy, TX 77494-3595 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/06/2011 |
Last Update Date | 07/09/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
374933501 | (05) | TX |