Provider Demographics
NPI:1912254830
Name:SU, HUA (NP)
Entity Type:Individual
Prefix:
First Name:HUA
Middle Name:
Last Name:SU
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
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Mailing Address - Street 1:6205 YORK BRIDGE CIR
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78749-2261
Mailing Address - Country:US
Mailing Address - Phone:512-694-7857
Mailing Address - Fax:512-476-9892
Practice Address - Street 1:1635 NORTH LOOP W
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77008-1532
Practice Address - Country:US
Practice Address - Phone:713-338-5616
Practice Address - Fax:713-314-8280
Is Sole Proprietor?:No
Enumeration Date:2012-08-09
Last Update Date:2023-09-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX767203363L00000X
TXAP123411363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX291613YM8AMedicare PIN