Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | J3817 | TX |
Y | 207VE0102X | Reproductive Endocrinologist | J3817 | TX |
NPI | 1568489169 |
---|---|
Provider Name | Jaou-Chen Huang |
First Address | Lubbock, TX 79408-5865 |
Second Address | Lubbock, TX 79430-9410 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/07/2006 |
Last Update Date | 01/12/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
132586209 | (05) | TX |
132586210 | CSHCN (01) | TX |
8DM846 | BC/BS (01) | TX |
E99948 | (02) | TX |