Individual
LIDA HUANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BOCPD
Contact information
Practice address
7801 N LAMAR BLVD STE C59, AUSTIN, TX 78752-1033
(512) 374-0818
(512) 374-0810
Mailing address
7801 N LAMAR BLVD STE C59, AUSTIN, TX 78752-1033
(512) 374-0818
(512) 374-0810
Taxonomy
Speciality
Code
Description
License number
State
224L00000X
Pedorthist
Primary
—
—
Other
Enumeration date
07/29/2020
Last updated
07/29/2020
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