Healthcare Provider Details

I. General information

NPI: 1487989232
Provider Name (Legal Business Name): SHARON D HUFF M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/13/2009
Last Update Date: 03/04/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11937 US HIGHWAY 271
TYLER TX
75708-3154
US

IV. Provider business mailing address

PO BOX 731912
DALLAS TX
75373-1912
US

V. Phone/Fax

Practice location:
  • Phone: 903-877-5900
  • Fax:
Mailing address:
  • Phone: 903-877-5900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2083X0100X
TaxonomyOccupational Medicine Physician
License NumberPHY TEMP
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code2083X0100X
TaxonomyOccupational Medicine Physician
License NumberN4482
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: