MEDICARE: CRISTINA MARIE WALLACE HUFF M.D.

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
1	207VX0000X	Obstetrics Physician	P9988	TX
2	207V00000X	Obstetrics & Gynecology Physician	P9988	TX

General Provider Information

NPI Number	:	1912252917
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CRISTINA MARIE WALLACE HUFF M.D.

Provider Business Mailing Address
First Line	:	2319 BRIARWOOD DR
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78209-4259
Country	:	US
Telephone Number	:	210-823-4903
Fax Number	:

Provider Business Practice Location Address
First Line	:	2319 BRIARWOOD DR
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78209-4259
Country	:	US
Telephone Number	:	210-823-4903
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/17/2012
Last Update Date	:	04/07/2026

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