Provider Demographics
NPI:1174512156
Name:HUFF, BILLIE K (FNP)
Entity Type:Individual
Prefix:
First Name:BILLIE
Middle Name:K
Last Name:HUFF
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5012 S US HIGHWAY 75 STE 290
Mailing Address - Street 2:
Mailing Address - City:DENISON
Mailing Address - State:TX
Mailing Address - Zip Code:75020-4637
Mailing Address - Country:US
Mailing Address - Phone:903-465-5012
Mailing Address - Fax:903-771-0270
Practice Address - Street 1:5012 S US HIGHWAY 75 STE 290
Practice Address - Street 2:
Practice Address - City:DENISON
Practice Address - State:TX
Practice Address - Zip Code:75020-4637
Practice Address - Country:US
Practice Address - Phone:903-465-5012
Practice Address - Fax:903-771-0270
Is Sole Proprietor?:No
Enumeration Date:2005-10-21
Last Update Date:2020-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX666909363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX174496301Medicaid
TX174496301Medicaid
Q47694Medicare UPIN