Provider Demographics
NPI:1598957334
Name:HUANG, HANSA ANONETAPIPAT (OD)
Entity Type:Individual
Prefix:DR
First Name:HANSA
Middle Name:ANONETAPIPAT
Last Name:HUANG
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13512 HYMEADOW CIR
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78729-1763
Mailing Address - Country:US
Mailing Address - Phone:512-257-0279
Mailing Address - Fax:512-651-3381
Practice Address - Street 1:10900 LAKELINE MALL DR
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78717-5924
Practice Address - Country:US
Practice Address - Phone:512-257-0279
Practice Address - Fax:512-651-3381
Is Sole Proprietor?:No
Enumeration Date:2007-08-15
Last Update Date:2014-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7134TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8K3595Medicare PIN