Basic Information
Provider Information
NPI: 1841418373
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HUANG
FirstName: TERRY
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 988102 NEBRASKA MEDICAL CTR
Address2:  
City: OMAHA
State: NE
PostalCode: 681988102
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: EMILE @ 42ND ST
Address2:  
City: OMAHA
State: NE
PostalCode: 681984455
CountryCode: US
TelephoneNumber: 4025594081
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/22/2007
LastUpdateDate: 03/08/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207L00000X24889NEY Allopathic & Osteopathic PhysiciansAnesthesiology 

No ID Information.


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