Healthcare Provider Details

I. General information

NPI: 1295738870
Provider Name (Legal Business Name): HAL D HUFFMAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/27/2005
Last Update Date: 03/16/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1339 EAST ST
GRAHAM TX
76450-4228
US

IV. Provider business mailing address

1339 EAST ST
GRAHAM TX
76450-4228
US

V. Phone/Fax

Practice location:
  • Phone: 940-521-5500
  • Fax: 940-521-5511
Mailing address:
  • Phone: 940-521-5500
  • Fax: 940-521-5511

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberF9598
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: