JACK HUANG P.A. (NPI# 1508030834) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508030834 |
| Entity Type | Organization |
| Organization Name | JACK HUANG P.A. |
| Practice Address |
4100 W 15th St Suite 103 Plano TX 75093-5803 |
| Practice Telephone | 9723128000 |
| Practice Fax Number | 9723128028 |
| Mailing Telephone | 9723128000 |
| Mailing Fax Number | 9723128028 |
| Enumeration Date | 2008-04-17 |
| Last Update Date | 2008-04-17 |
| Authorized Official Name | DR. JACK HUANG (OWNER) |
| Authorized Official Telephone | 2142898203 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP3300X |
Clinic/Center Specialization: Pain |
9233 | TX | Ambulatory Health Care Facilities |
| Street Address |
4100 W 15TH ST SUITE 103 |
| City | PLANO |
| State | TX |
| Zip Code | 75093-5803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932105491 | Kathy Ann Rapport | Specialist/Technologist, Other | 4100 W 15th St, Ste 208, Plano, TX 75093-5801 | 2005-06-21 |
| 1417506296 | Jaime Haidenberg | Plastic Surgery | 4100 W 15th St, Plano, TX 75093-5803 | 2019-09-05 |
| 1225500168 | Denise Butler | Nurse Practitioner | 4100 W 15th St, Plano, TX 75093-5803 | 2018-12-17 |
| 1003340043 | Neurotex Iom Reads, LLC | Specialist/Technologist, Other | 4100 W 15th St, Suite 220, Plano, TX 75093-5803 | 2017-04-17 |
| 1548709348 | Desert Iom Reads, LLC | Specialist/Technologist, Other | 4100 W 15th St, Suite 220, Plano, TX 75093-5803 | 2017-02-14 |
| 1871032672 | Mckinney Iom Services, LLC | Specialist/Technologist, Other | 4100 W 15th St, Suite 220, Plano, TX 75093-5803 | 2017-02-14 |
| 1811434632 | Helix Neuromonitoring, LLC | Specialist/Technologist, Other | 4100 W 15th St, Suite 220, Plano, TX 75093-5803 | 2017-01-31 |
| 1679018493 | Valley Iom | Specialist/Technologist, Other | 4100 W 15th St, Suite 220, Plano, TX 75093-5803 | 2017-01-03 |
| 1639613904 | Neuron Shield Monitoring Associates | Specialist/Technologist, Other | 4100 W 15th St, Suite 220, Plano, TX 75093-5803 | 2016-12-06 |
| 1063956340 | Neuron Shield 9, LLC | Specialist/Technologist, Other | 4100 W 15th St, Suite 220, Plano, TX 75093-5803 | 2016-12-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235789041 | Mapleshade Surgery Center, LLC | Clinic/Center | 960 Ohio Dr, Plano, TX 75093 | 2019-09-13 |
| 1003461468 | Psyclear, LLC | Psychologist | 5055 West Park Boulevard, Suite 400, Plano, TX 75093 | 2019-08-02 |
| 1962981795 | Ep Anesthesia Pllc | Anesthesiology | 4100 Mapleshade Ln, Plano, TX 75093 | 2018-08-13 |
| 1669973939 | Eva Walekhwa | Registered Nurse | 6000 Ohio Drive, Apt 1027, Plano, TX 75093 | 2018-02-22 |
| 1437657624 | Advanced Spine Center | Orthopaedic Surgery | 1705 Ohio Drive, Suite 300, Plano, TX 75093 | 2018-01-23 |
| 1184139974 | Erica Cherese Carey | Nurse Practitioner | 1100 Allied Drive, Plano, TX 75093 | 2017-12-04 |
| 1457865578 | Norma Vigilant | Specialist/Technologist, Other | 4909 West Park Blvd, Plaza Park Salons, Plano, TX 75093 | 2017-11-28 |
| 1891214011 | Americare Rx Pharmacy Inc | Pharmacy | 4010 W. 15th St., Ste 60, Plano, TX 75093 | 2017-09-19 |
| 1760912554 | Baylor Surgicare At Baylor Plano, LLC | Clinic/Center | 4825 Alliance, Sute 300, Plano, TX 75093 | 2017-06-14 |
| 1881133262 | Dr.seshagiri Rao | Preferred Provider Organization | 3016 Communications Pkwy, Ste 100, Plano, TX 75093 | 2017-02-17 |
| Find all providers in zip 75093 | ||||
| Taxonomy Code | 261QP3300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Pain |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629220066 | Pioneer Pain Center, LLC | Clinic/Center | 2301 W Parker Rd, Ste 3, Plano, TX 75023-7877 | 2008-10-16 |
| 1306044870 | Lone Star Surgical Center LLP | Clinic/Center | 3060 Communications Pkwy Ste 104, Plano, TX 75093-8449 | 2007-07-06 |
| 1679796205 | Pain Care Specialists of Plano, Pa | Clinic/Center | 4100 W 15th St Ste 200, Plano, TX 75093-5856 | 2007-04-11 |
| 1568979961 | Spine and Wellness Institute, Pllc | Clinic/Center | 6300 W Parker Rd Ste G25, Plano, TX 75093-8105 | 2018-01-08 |
| 1295068484 | Us Medical Massage Professionals, Pllc | Clinic/Center | 2100 Dallas Pkwy, 120, Plano, TX 75093-4363 | 2009-09-07 |
| 1235378795 | North Texas Surgery Center, LLC | Clinic/Center | 3060 Communications Pkwy, Suite 104, Plano, TX 75093-8449 | 2009-02-06 |
| 1134368715 | Magnum Billing Services | Clinic/Center | 3060 Communications Pkwy, Suite 104, Plano, TX 75093-8449 | 2009-02-05 |
| 1336393719 | Back Restoration and Wellness | Clinic/Center | 2237 W Parker Rd, Suite F, Plano, TX 75023-7800 | 2008-11-11 |
| 1619129848 | North Texas Advanced Pain Relief Center, LLC | Clinic/Center | 3060 Communications Pkwy, Suite 104, Plano, TX 75093-8449 | 2008-10-21 |
| 1508012287 | Pain Management Resources, LLC | Clinic/Center | 3060 Communications Pkwy, Suite 104, Plano, TX 75093-8449 | 2008-08-13 |
| Find all providers in PLANO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.