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NPI Code Detail

MEDICARE: MELINDA DIANE HUFFMAN FNP-C

MEDICARE: MELINDA DIANE HUFFMAN FNP-C
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
1363LF0000XFamily Nurse PractitionerAP110123TX

General Provider Information

NPI Number : 1174617955
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELINDA DIANE HUFFMAN FNP-C
Provider Business Mailing Address
First Line : 3324 HALL JOHNSON RD
Second Line :
City : GRAPEVINE
State : TX
Zip : 76051-6816
Country : US
Telephone Number : 817-481-2629
Fax Number :
Provider Business Practice Location Address
First Line : 3330 S LANCASTER RD
Second Line :
City : DALLAS
State : TX
Zip : 75216-4531
Country : US
Telephone Number : 214-743-1200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/03/2006
Last Update Date : 12/08/2025

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Directions to “ MELINDA DIANE HUFFMAN FNP-C” Practice Location

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