Provider Demographics
NPI:1649384132
Name:HUANG, ALVIN ERIC (MD)
Entity Type:Individual
Prefix:DR
First Name:ALVIN
Middle Name:ERIC
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 1:437 S HAMPTON CT
Mailing Address - Street 2:
Mailing Address - City:LEWISVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75056-5580
Mailing Address - Country:US
Mailing Address - Phone:214-621-7765
Mailing Address - Fax:254-288-2306
Practice Address - Street 1:36065 SANTA FE AVE
Practice Address - Street 2:CLINIC B, ROOM 12-038
Practice Address - City:FORT HOOD
Practice Address - State:TX
Practice Address - Zip Code:76544
Practice Address - Country:US
Practice Address - Phone:214-621-7765
Practice Address - Fax:254-288-2306
Is Sole Proprietor?:No
Enumeration Date:2006-08-19
Last Update Date:2022-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL9254207R00000X, 207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1684870-01Medicaid
TX8F4619OtherBCBS
TX8L4042Medicare PIN
TX1684870-01Medicaid
TX8F4619OtherBCBS
TXH37437Medicare UPIN