Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081P2900X | Pain Medicine | 0101254867 | VA |
N | 2081P2900X | Pain Medicine | D0076572 | MD |
NPI | 1265687305 |
---|---|
Provider Name | Mr. James Huang |
First Address | Stafford, VA 22554 |
Second Address | Stafford, VA 22554 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/11/2008 |
Last Update Date | 20/02/2015 |