Individual
JACK HUA
Active
Individual
JACK HUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
4301506546
MI
2085R0202X
Diagnostic Radiology Physician
Primary
MD67813
TN
390200000X
Student in an Organized Health Care Education/Training Program
010029533
LA
Other
Enumeration date
05/11/2017
Last updated
10/04/2023
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