Basic Information
Provider Information
NPI: 1407295678
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HSU
FirstName: EMILY
MiddleName: SHIAO-FUNG
NamePrefix: DR.
NameSuffix:  
Credential: DO
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 6600 FIRESTONE BLVD
Address2:  
City: FIRESTONE
State: CO
PostalCode: 805046605
CountryCode: US
TelephoneNumber: 3038338880
FaxNumber: 7204943107
Practice Location
Address1: 6600 FIRESTONE BLVD
Address2:  
City: FIRESTONE
State: CO
PostalCode: 805046605
CountryCode: US
TelephoneNumber: 3038338880
FaxNumber: 7204943107
Other Information
ProviderEnumerationDate: 06/20/2013
LastUpdateDate: 06/20/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Q00000XBP10047963TXN Allopathic & Osteopathic PhysiciansFamily Medicine 
207Q00000XDR.0056545COY Allopathic & Osteopathic PhysiciansFamily Medicine 

No ID Information.


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