Provider Demographics
NPI:1346449147
Name:CHUANG, HUBERT (MD)
Entity Type:Individual
Prefix:
First Name:HUBERT
Middle Name:
Last Name:CHUANG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1400 PRESSLER STREET
Mailing Address - Street 2:UNIT 16.5086
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77230
Mailing Address - Country:US
Mailing Address - Phone:713-792-3008
Mailing Address - Fax:
Practice Address - Street 1:1400 PRESSLER ST
Practice Address - Street 2:UNIT 16.5086
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-3722
Practice Address - Country:US
Practice Address - Phone:713-792-3008
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-12
Last Update Date:2012-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDT2536207U00000X
TXN4348207U00000X
NY245240-1207U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207U00000XAllopathic & Osteopathic PhysiciansNuclear Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX197409901Medicaid
TX197409901Medicaid