Healthcare Provider Details

I. General information

NPI: 1376925149
Provider Name (Legal Business Name): PATRICIA HUFFMAN R.PH.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/29/2015
Last Update Date: 06/29/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11511 SHADOW CREEK PKWY
PEARLAND TX
77584-7298
US

IV. Provider business mailing address

11511 SHADOW CREEK PKWY
PEARLAND TX
77584-7298
US

V. Phone/Fax

Practice location:
  • Phone: 713-442-5233
  • Fax: 713-442-5253
Mailing address:
  • Phone: 713-442-5233
  • Fax: 713-442-5253

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number28324
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: