Healthcare Provider Details

I. General information

NPI: 1780707497
Provider Name (Legal Business Name): THOMAS LYNN HUFF DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/09/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6516 M.D. ANDERSON BLVD.
HOUSTON TX
77030
US

IV. Provider business mailing address

3783 ARNOLD ST
HOUSTON TX
77005-2003
US

V. Phone/Fax

Practice location:
  • Phone: 713-500-4336
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0700X
TaxonomyProsthodontics
License Number13633
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: