MEDICARE: E.D. HUFFMAN ENTERPRISES PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	657480000	TX

General Provider Information

NPI Number	:	1164629184
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	E.D. HUFFMAN ENTERPRISES PLLC

Provider Business Mailing Address
First Line	:	3301 LONG PRAIRIE RD STE 125
Second Line	:
City	:	FLOWER MOUND
State	:	TX
Zip	:	75022-5908
Country	:	US
Telephone Number	:	972-539-5795
Fax Number	:	972-539-5793

Provider Business Practice Location Address
First Line	:	3301 LONG PRAIRIE RD STE 125
Second Line	:
City	:	FLOWER MOUND
State	:	TX
Zip	:	75022-5908
Country	:	US
Telephone Number	:	972-539-5795
Fax Number	:	972-539-5793

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ERIC DWIGHT HUFFMAN
Credential	:	PT
Telephone Number	:	972-539-5795

Provider Enumeration Date	:	07/02/2007
Last Update Date	:	05/22/2026

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