Healthcare Provider Details

I. General information

NPI: 1912978933
Provider Name (Legal Business Name): JOHN PAUL HUFF MD, PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/28/2006
Last Update Date: 03/27/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

422 W NAKOMA ST
SAN ANTONIO TX
78216-2623
US

IV. Provider business mailing address

PO BOX 1567
SAN ANTONIO TX
78296-1567
US

V. Phone/Fax

Practice location:
  • Phone: 210-571-1300
  • Fax: 210-519-2811
Mailing address:
  • Phone: 210-571-1300
  • Fax: 210-519-2811

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License NumberJ1691
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: