Provider Demographics
NPI:1275544884
Name:HU, GANG (MD)
Entity Type:Individual
Prefix:
First Name:GANG
Middle Name:
Last Name:HU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1872 NORWOOD DR
Mailing Address - Street 2:200
Mailing Address - City:HURST
Mailing Address - State:TX
Mailing Address - Zip Code:76054-3066
Mailing Address - Country:US
Mailing Address - Phone:817-540-6060
Mailing Address - Fax:817-553-7994
Practice Address - Street 1:1872 NORWOOD DR
Practice Address - Street 2:200
Practice Address - City:HURST
Practice Address - State:TX
Practice Address - Zip Code:76054-3066
Practice Address - Country:US
Practice Address - Phone:817-540-6060
Practice Address - Fax:817-553-7994
Is Sole Proprietor?:No
Enumeration Date:2006-08-10
Last Update Date:2020-09-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXL6948207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXH66484Medicare UPIN
TX8B2363Medicare PIN
TX8F0541Medicare PIN