Provider Demographics
NPI:1457165342
Name:HUANG, SAMUEL LIMING
Entity type:Individual
Prefix:
First Name:SAMUEL
Middle Name:LIMING
Last Name:HUANG
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17900 SCARLET OAK LN
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73012-4153
Mailing Address - Country:US
Mailing Address - Phone:405-697-6299
Mailing Address - Fax:
Practice Address - Street 1:17900 SCARLET OAK LN
Practice Address - Street 2:
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73012-4153
Practice Address - Country:US
Practice Address - Phone:405-697-6299
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-03
Last Update Date:2025-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program