Provider Demographics
NPI:1376784090
Name:PATTI C. HUANG, MD, PA
Entity Type:Organization
Organization Name:PATTI C. HUANG, MD, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PATTI
Authorized Official - Middle Name:C
Authorized Official - Last Name:HUANG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:214-374-8264
Mailing Address - Street 1:5520 INDEPENDENCE PKWY
Mailing Address - Street 2:STE 202
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75035-4600
Mailing Address - Country:US
Mailing Address - Phone:214-374-8264
Mailing Address - Fax:214-297-0073
Practice Address - Street 1:5520 INDEPENDENCE PKWY
Practice Address - Street 2:STE 202
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75035
Practice Address - Country:US
Practice Address - Phone:214-374-8264
Practice Address - Fax:214-297-0073
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-09
Last Update Date:2018-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK8766207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXK8766OtherSTATE LICENSE