Provider Demographics
NPI:1548587769
Name:HWANG, RICHARD YI-JEN (MD, PHD)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:YI-JEN
Last Name:HWANG
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1700 CURIE DR STE 3800
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79902-2985
Mailing Address - Country:US
Mailing Address - Phone:915-532-3912
Mailing Address - Fax:915-543-9196
Practice Address - Street 1:1700 CURIE DR STE 3800
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79902-2985
Practice Address - Country:US
Practice Address - Phone:915-532-3912
Practice Address - Fax:915-543-9196
Is Sole Proprietor?:No
Enumeration Date:2010-04-28
Last Update Date:2020-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODR.0053359207W00000X
NMMD2016-0149207WX0107X
390200000X
TXQ9382207WX0107X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207WX0107XAllopathic & Osteopathic PhysiciansOphthalmologyRetina Specialist
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program