Provider Demographics
NPI:1750485108
Name:FUNG, STEVE HUNTZ (MD)
Entity type:Individual
Prefix:DR
First Name:STEVE
Middle Name:HUNTZ
Last Name:FUNG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:6565 FANNIN ST.,
Mailing Address - Street 2:MB1-002
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-2703
Mailing Address - Country:US
Mailing Address - Phone:713-441-3338
Mailing Address - Fax:713-793-1799
Practice Address - Street 1:6565 FANNIN ST.,
Practice Address - Street 2:MB1-002
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2703
Practice Address - Country:US
Practice Address - Phone:713-441-3338
Practice Address - Fax:713-793-1799
Is Sole Proprietor?:No
Enumeration Date:2006-09-07
Last Update Date:2015-11-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD00640202085R0202X
TXM40772085R0202X
MA2305882085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX2065310-01Medicaid
TX8L16765Medicare PIN