Healthcare Provider Details

I. General information

NPI: 1053310532
Provider Name (Legal Business Name): MILTON PAUL HUFF JR. D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 07/18/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 SAN AUGUSTINE ST
CENTER TX
75935-3953
US

IV. Provider business mailing address

201 SAN AUGUSTINE ST
CENTER TX
75935-3953
US

V. Phone/Fax

Practice location:
  • Phone: 936-598-5200
  • Fax: 936-591-0505
Mailing address:
  • Phone: 936-598-5200
  • Fax: 936-591-0505

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number4969
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: