Provider Demographics
NPI:1356510515
Name:HUANG, CONWAY CANHUI (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:CONWAY
Middle Name:CANHUI
Last Name:HUANG
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:DR
Other - First Name:CANHUI
Other - Middle Name:
Other - Last Name:HUANG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD, PHD
Mailing Address - Street 1:1908 N LAURENT ST STE 410
Mailing Address - Street 2:
Mailing Address - City:VICTORIA
Mailing Address - State:TX
Mailing Address - Zip Code:77901-5469
Mailing Address - Country:US
Mailing Address - Phone:361-572-0333
Mailing Address - Fax:361-371-7090
Practice Address - Street 1:800 W CENTRAL TEXAS EXPY STE 290
Practice Address - Street 2:
Practice Address - City:HARKER HEIGHTS
Practice Address - State:TX
Practice Address - Zip Code:76548-1991
Practice Address - Country:US
Practice Address - Phone:254-618-1151
Practice Address - Fax:254-618-1158
Is Sole Proprietor?:No
Enumeration Date:2008-02-21
Last Update Date:2019-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN0842207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0782146-04Medicaid
TX078214603Medicaid