Healthcare Provider Details

I. General information

NPI: 1285721613
Provider Name (Legal Business Name): EMMETT STERLING HUFF III D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/06/2006
Last Update Date: 12/05/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

119 MONTERREY PINES DRIVE
MONTGOMERY TX
77316
US

IV. Provider business mailing address

119 MONTERREY PINES DRIVE
MONTGOMERY TX
77316
US

V. Phone/Fax

Practice location:
  • Phone: 713-248-2545
  • Fax:
Mailing address:
  • Phone: 713-248-2545
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberH0476
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: