MEDICARE: DR. ELIZABETH LAUREN HUFFMAN DPT

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	1250591	TX

General Provider Information

NPI Number	:	1346601861
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ELIZABETH LAUREN HUFFMAN DPT

Provider Business Mailing Address
First Line	:	3328 DORADO BEACH DR
Second Line	:
City	:	FARMERS BRANCH
State	:	TX
Zip	:	75234-2208
Country	:	US
Telephone Number	:	501-580-7226
Fax Number	:

Provider Business Practice Location Address
First Line	:	4825 ALLIANCE BLVD STE 200
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75093-5504
Country	:	US
Telephone Number	:	469-606-1378
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/10/2016
Last Update Date	:	01/19/2021

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