Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | MT188607 | PA |
N | 111NI0900X | Internist | MT188607 | PA |
Y | 207RR0500X | Rheumatology | N7109 | TX |
NPI | 1043374366 |
---|---|
Provider Name | Emily Wailin Hung |
First Address | Shenandoah, TX 77384-3023 |
Second Address | Shenandoah, TX 77384-3023 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/12/2006 |
Last Update Date | 09/10/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
713035 | MEDICARE (01) | TX |