Provider Demographics
NPI:1437137502
Name:HUANG, DAVID S (M D)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:S
Last Name:HUANG
Suffix:
Gender:M
Credentials:M D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1518 10TH ST
Mailing Address - Street 2:
Mailing Address - City:WICHITA FALLS
Mailing Address - State:TX
Mailing Address - Zip Code:76301-4405
Mailing Address - Country:US
Mailing Address - Phone:940-322-1688
Mailing Address - Fax:940-723-8888
Practice Address - Street 1:1518 10TH ST
Practice Address - Street 2:
Practice Address - City:WICHITA FALLS
Practice Address - State:TX
Practice Address - Zip Code:76301-4405
Practice Address - Country:US
Practice Address - Phone:940-322-1688
Practice Address - Fax:940-723-8888
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-09
Last Update Date:2012-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG0432207X00000X, 207XS0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0390197-01Medicaid
TX816717Medicare ID - Type UnspecifiedMEDICARE
TXC17145Medicare UPIN