Healthcare Provider Details

I. General information

NPI: 1396776761
Provider Name (Legal Business Name): THOMAS LAURENCE HUFFMAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/05/2006
Last Update Date: 10/23/2025
Certification Date: 10/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3250 SHEPHERD OF THE HILLS EXPY
BRANSON MO
65616-8104
US

IV. Provider business mailing address

PO BOX 555 11863 STATE HWY 13
KIMBERLING CITY MO
65686-0555
US

V. Phone/Fax

Practice location:
  • Phone: 417-248-2093
  • Fax: 417-248-2094
Mailing address:
  • Phone: 417-739-1995
  • Fax: 417-739-1893

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number34588
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: