MEDICARE: JOHN P HUFF MD PHD PA

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	207RR0500X	Rheumatology Physician	J1691	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	45D0973176	OTHER	TX	CLIA NUMBER

General Provider Information

NPI Number	:	1285670794
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JOHN P HUFF MD PHD PA

Provider Business Mailing Address
First Line	:	PO BOX 2207
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78298-2207
Country	:	US
Telephone Number	:	210-404-0020
Fax Number	:	210-404-0325

Provider Business Practice Location Address
First Line	:	14615 SAN PEDRO
Second Line	:	STE 105
City	:	SAN ANTONIO
State	:	TX
Zip	:	78232-4321
Country	:	US
Telephone Number	:	210-404-0020
Fax Number	:	210-404-0325

Authorized Official
Title or Position	:	SENIOR PARTNER/OWNER
Name	:	DR. JOHN P HUFF
Credential	:	MD,PHD
Telephone Number	:	210-404-0020

Provider Enumeration Date	:	06/22/2006
Last Update Date	:	03/04/2009

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