Provider Demographics
NPI:1255547998
Name:KANG, HUI S (MD)
Entity type:Individual
Prefix:
First Name:HUI
Middle Name:S
Last Name:KANG
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 1:7010 CHAMPIONS PLAZA DR STE 400
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77069-2395
Mailing Address - Country:US
Mailing Address - Phone:832-698-5330
Mailing Address - Fax:832-698-5321
Practice Address - Street 1:5420 DASHWOOD DR STE 103
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77081-5333
Practice Address - Country:US
Practice Address - Phone:713-664-2662
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-16
Last Update Date:2021-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM9394207LP2900X, 208VP0014X, 207L00000X, 208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
No207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX212628603Medicaid
TX8DB427OtherBLUE CROSS BLUE SHIELD
TXP01046821OtherRAILROAD MEDICARE
TX212628604Medicaid
TXP01046821OtherRAILROAD MEDICARE
TX8L12615Medicare PIN
TX8L12881Medicare PIN
TXTXB144480Medicare PIN