Individual
STEPHEN R HUANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 SCOTT AND WHITE DR, COLLEGE STATION, TX 77845-6440
(979) 207-4000
(979) 207-4562
Mailing address
PO BOX 844658 DOB 503, DALLAS, TX 75284-4658
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
257613
MA
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
M5766
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110098920A
—
MA
Enumeration date
02/13/2007
Last updated
04/08/2021
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