Provider Demographics
NPI:1972978773
Name:HUANG, GUORUI (LMT, LMI)
Entity type:Individual
Prefix:
First Name:GUORUI
Middle Name:
Last Name:HUANG
Suffix:
Gender:M
Credentials:LMT, LMI
Other - Prefix:
Other - First Name:WILSON
Other - Middle Name:
Other - Last Name:HUANG
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:740 E 20TH ST
Mailing Address - Street 2:STE D
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77008
Mailing Address - Country:US
Mailing Address - Phone:281-826-6862
Mailing Address - Fax:
Practice Address - Street 1:740 E 20TH ST
Practice Address - Street 2:STE D
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77008
Practice Address - Country:US
Practice Address - Phone:281-826-6862
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-12-04
Last Update Date:2015-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXMT110447225700000X
TX173C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
No173C00000XOther Service ProvidersReflexologist