Provider Demographics
NPI:1689635336
Name:HUANG, HAO-CHIEH (JACK) (DC)
Entity Type:Individual
Prefix:DR
First Name:HAO-CHIEH (JACK)
Middle Name:
Last Name:HUANG
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4100 W 15TH ST
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-5826
Mailing Address - Country:US
Mailing Address - Phone:972-312-8000
Mailing Address - Fax:972-312-8028
Practice Address - Street 1:4100 W 15TH ST;
Practice Address - Street 2:SUITE 103
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-5826
Practice Address - Country:US
Practice Address - Phone:972-312-8000
Practice Address - Fax:972-312-8028
Is Sole Proprietor?:No
Enumeration Date:2006-03-31
Last Update Date:2008-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9233111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXU94545Medicare UPIN
TX609803Medicare ID - Type Unspecified