Healthcare Provider Details

I. General information

NPI: 1154595940
Provider Name (Legal Business Name): JOSHUA COWGER HUFFMAN D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/14/2008
Last Update Date: 08/31/2021
Certification Date: 08/31/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3212 NAPIER PARK
SAN ANTONIO TX
78231-1522
US

IV. Provider business mailing address

3212 NAPIER PARK
SAN ANTONIO TX
78231-1522
US

V. Phone/Fax

Practice location:
  • Phone: 210-545-5111
  • Fax: 210-545-5120
Mailing address:
  • Phone: 210-545-5111
  • Fax: 210-545-5120

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number10729
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: