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NPI Code Detail

MEDICARE: MR. DONALD L HUFF PA-C

MEDICARE: MR. DONALD L HUFF PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician AssistantPA03915TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1PA03915OTHERTXPHYSICIAN ASSISTANT

General Provider Information

NPI Number : 1699786731
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. DONALD L HUFF PA-C
Provider Business Mailing Address
First Line : 9743 TREVOR DR
Second Line :
City : DALLAS
State : TX
Zip : 75243-2315
Country : US
Telephone Number : 469-330-0079
Fax Number :
Provider Business Practice Location Address
First Line : 4500 S LANCASTER RD
Second Line :
City : DALLAS
State : TX
Zip : 75216-7167
Country : US
Telephone Number : 214-857-0912
Fax Number : 214-857-0827
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/11/2006
Last Update Date : 12/21/2025

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