Provider Demographics
NPI:1235577636
Name:HUANG-TSANG, JENNIFER JUXIANG (DO)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:JUXIANG
Last Name:HUANG-TSANG
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:JUXIANG
Other - Middle Name:JUXIANG
Other - Last Name:HUANG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:5170 E GLENN ST STE 130&160
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85712-1396
Mailing Address - Country:US
Mailing Address - Phone:520-298-7900
Mailing Address - Fax:520-300-7182
Practice Address - Street 1:5170 E GLENN ST STE 130&160
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85712-1396
Practice Address - Country:US
Practice Address - Phone:520-298-7900
Practice Address - Fax:520-300-7182
Is Sole Proprietor?:No
Enumeration Date:2013-06-06
Last Update Date:2019-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ006674207RC0000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease