Individual provider Active NPI

Hsien-Hui Grace Huang, D.O.

  • Family Medicine Physician
  • Grand Prairie, TX
National Provider Identifier
1063421238
Registry record updated Jun 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
K3754 Issued in TX
Practice address
817 W Pioneer Pkwy Ste 190
Grand Prairie, TX 75051-4724
Phone
(972) 647-8282
Fax
(972) 606-0202
NPI assigned
Aug 6, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X K3754 TX Primary

Addresses

Primary practice location

817 W Pioneer Pkwy Ste 190
Grand Prairie, TX 75051-4724

Mailing address

817 W Pioneer Pkwy Ste 190
Grand Prairie, TX 75051-4724
Phone (972) 647-8282

Other identifiers 1

IdentifierTypeStateIssuer
092336903MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120409000487 TX Practitioner - Family Practice 3476714023 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Pioneer Family Doctor Association Family Medicine CurrentSince Nov 21, 2011 Accepting new patients

Locations

817 W Pioneer Pkwy
Ste 190
Grand Prairie, TX 75051
Phone (972) 647-8282

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656460800000",
    "number": "1063421238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "817 W PIONEER PKWY STE 190",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750514724",
            "telephone_number": "972-647-8282",
            "fax_number": "972-606-0202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 W PIONEER PKWY STE 190",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750514724",
            "telephone_number": "972-647-8282",
            "fax_number": "972-606-0202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUANG",
        "first_name": "HSIEN-HUI",
        "middle_name": "GRACE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-06",
        "last_updated": "2022-06-29",
        "certification_date": "2022-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K3754",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "092336903",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Prairie, TX

Sources for this page

Verify at the official NPI Registry.