Healthcare Provider Details
I. General information
NPI: 1679326326
Provider Name (Legal Business Name): NICHOLAS PATRICK HUX MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 04/10/2024
Last Update Date: 04/17/2024
Certification Date: 04/17/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
500 J CLYDE MORRIS BLVD DEPT OF
NEWPORT NEWS VA
23601-1929
US
IV. Provider business mailing address
500 J CLYDE MORRIS BLVD DEPT OF
NEWPORT NEWS VA
23601-1929
US
V. Phone/Fax
- Phone: 757-594-3945
- Fax: 757-594-3184
- Phone: 757-594-3945
- Fax: 757-594-3184
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 390200000X |
| Taxonomy | Student in an Organized Health Care Education/Training Program |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: