Healthcare Provider Details
I. General information
NPI: 1205371911
Provider Name (Legal Business Name): HUXFORD PULMONARY AND SLEEP MEDICINE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/04/2017
Last Update Date: 03/24/2017
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
106 STRANGE RD
STARKVILLE MS
39759-2540
US
IV. Provider business mailing address
106 STRANGE RD
STARKVILLE MS
39759-2540
US
V. Phone/Fax
- Phone: 662-268-5042
- Fax: 662-338-3128
- Phone: 662-268-5042
- Fax: 662-338-3128
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RP1001X |
| Taxonomy | Pulmonary Disease Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
CAMERON
S
HUXFORD
Title or Position: OWNER
Credential: MD
Phone: 601-573-6093