Healthcare Provider Details

I. General information

NPI: 1548555717
Provider Name (Legal Business Name): DR. CHRISTOPHER HUFF
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/15/2011
Last Update Date: 06/15/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

375 MUNICIPAL DR STE 108
RICHARDSON TX
75080-3543
US

IV. Provider business mailing address

375 MUNICIPAL DR STE 108
RICHARDSON TX
75080-3543
US

V. Phone/Fax

Practice location:
  • Phone: 214-575-4040
  • Fax: 214-575-4041
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number1206596
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: