Provider Demographics
NPI:1992556302
Name:HSU, MITCHELL HUNGZHE
Entity type:Individual
Prefix:
First Name:MITCHELL
Middle Name:HUNGZHE
Last Name:HSU
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 1:709 PIN OAK DR
Mailing Address - Street 2:
Mailing Address - City:FRIENDSWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77546-3593
Mailing Address - Country:US
Mailing Address - Phone:713-518-9625
Mailing Address - Fax:
Practice Address - Street 1:709 PIN OAK DR
Practice Address - Street 2:
Practice Address - City:FRIENDSWOOD
Practice Address - State:TX
Practice Address - Zip Code:77546-3593
Practice Address - Country:US
Practice Address - Phone:713-518-9625
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-01
Last Update Date:2024-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program