Provider Demographics
NPI:1417574922
Name:HUARD, THOMAS KING (PHD)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:KING
Last Name:HUARD
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:112 BELLAGIO DR
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78734-5081
Mailing Address - Country:US
Mailing Address - Phone:703-408-1750
Mailing Address - Fax:
Practice Address - Street 1:112 BELLAGIO DR
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78734-5081
Practice Address - Country:US
Practice Address - Phone:703-408-1750
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-30
Last Update Date:2020-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247ZC0005XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyClinical Laboratory Director, Non-physician