Provider Demographics
NPI:1962728451
Name:HU, MICHAEL (MD)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:
Last Name:HU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:208 S AKARD ST STE PC-50
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75202-4206
Mailing Address - Country:US
Mailing Address - Phone:469-490-3119
Mailing Address - Fax:469-490-3132
Practice Address - Street 1:208 S AKARD ST STE PC-50
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75202-4206
Practice Address - Country:US
Practice Address - Phone:469-490-3119
Practice Address - Fax:469-490-3132
Is Sole Proprietor?:No
Enumeration Date:2010-04-09
Last Update Date:2021-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXQ0937207R00000X, 208000000X, 208000000X
IN01071306A208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics