Provider Demographics
NPI:1245345701
Name:HUA, LAN (MD)
Entity type:Individual
Prefix:DR
First Name:LAN
Middle Name:
Last Name:HUA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2300 LEONARD ST APT 505
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75201-2006
Mailing Address - Country:US
Mailing Address - Phone:972-947-9395
Mailing Address - Fax:214-705-1204
Practice Address - Street 1:4500 HILLCREST RD
Practice Address - Street 2:SUITE 185
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75035-5418
Practice Address - Country:US
Practice Address - Phone:972-947-9395
Practice Address - Fax:214-705-1204
Is Sole Proprietor?:No
Enumeration Date:2006-08-21
Last Update Date:2016-04-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXN7282207XS0106X, 208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery
No208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1902280589Medicare NSC