Provider Demographics
NPI:1467636662
Name:HUANG, REX W (MD)
Entity Type:Individual
Prefix:DR
First Name:REX
Middle Name:W
Last Name:HUANG
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 1:401 QUARRY ROAD, ROOM 3342
Mailing Address - Street 2:
Mailing Address - City:STANFORD
Mailing Address - State:CA
Mailing Address - Zip Code:94305-5723
Mailing Address - Country:US
Mailing Address - Phone:650-725-3762
Mailing Address - Fax:
Practice Address - Street 1:401 QUARRY ROAD, ROOM 3342
Practice Address - Street 2:
Practice Address - City:STANFORD
Practice Address - State:CA
Practice Address - Zip Code:94305-5723
Practice Address - Country:US
Practice Address - Phone:650-725-3762
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-24
Last Update Date:2022-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program