NPI 1972112555

Lida Huang, BOCPD

Practitioner Pedorthist Austin, TX

Practice location

Address: 7801 N Lamar Blvd STE C59, Austin, TX 78752-1033
Phone: (512) 374-0818
Fax: (512) 374-0810

Registered specialties

Pedorthist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224L00000X

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Registry record

NPI: 1972112555
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Jul 2020
Record last updated: 29 Jul 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.