Provider Demographics
NPI:1427722925
Name:HAOXU OUYANG MEDICAL PLLC
Entity type:Organization
Organization Name:HAOXU OUYANG MEDICAL PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HAOXU
Authorized Official - Middle Name:
Authorized Official - Last Name:OUYANG
Authorized Official - Suffix:
Authorized Official - Credentials:MD, PHD
Authorized Official - Phone:917-667-9997
Mailing Address - Street 1:13227 41ST RD # 2C
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11355-2826
Mailing Address - Country:US
Mailing Address - Phone:718-269-5055
Mailing Address - Fax:
Practice Address - Street 1:13227 41ST RD # 2C
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355-2826
Practice Address - Country:US
Practice Address - Phone:718-269-5055
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-06
Last Update Date:2023-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center