Healthcare Provider Details

I. General information

NPI: 1043819311
Provider Name (Legal Business Name): MICHAEL HUFF
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/19/2020
Last Update Date: 10/19/2020
Certification Date: 10/16/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9125 W SAM HOUSTON PKWY N
HOUSTON TX
77064-6339
US

IV. Provider business mailing address

9125 W SAM HOUSTON PKWY N
HOUSTON TX
77064-6339
US

V. Phone/Fax

Practice location:
  • Phone: 281-477-0585
  • Fax: 281-477-0594
Mailing address:
  • Phone: 281-477-0585
  • Fax: 281-477-0594

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number50711
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: