Healthcare Provider Details

I. General information

NPI: 1780676858
Provider Name (Legal Business Name): THOMAS JOSEPH HUFF DO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/16/2005
Last Update Date: 08/21/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5505 S EXPRESSWAY 77 STE 302
HARLINGEN TX
78550-3214
US

IV. Provider business mailing address

5505 S EXPRESSWAY 77 STE 302
HARLINGEN TX
78550-3214
US

V. Phone/Fax

Practice location:
  • Phone: 956-428-4321
  • Fax: 956-428-4696
Mailing address:
  • Phone: 956-428-4321
  • Fax: 956-428-4696

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberK0495
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: