Provider Demographics
NPI:1073616223
Name:MELVIN HU MD PHD PA
Entity Type:Organization
Organization Name:MELVIN HU MD PHD PA
Other - Org Name:TEXAS PAIN TREATMENT CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MELVIN
Authorized Official - Middle Name:MEI
Authorized Official - Last Name:HU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:214-619-5380
Mailing Address - Street 1:PO BOX 5405
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75035-2013
Mailing Address - Country:US
Mailing Address - Phone:214-619-5380
Mailing Address - Fax:888-419-5913
Practice Address - Street 1:9191 KYSER WAY
Practice Address - Street 2:SUITES 603 & 604
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75033-1953
Practice Address - Country:US
Practice Address - Phone:214-619-5380
Practice Address - Fax:214-619-5388
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-06
Last Update Date:2019-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL9253208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00X087OtherMEDICARE GROUP ID