Provider Demographics
NPI:1235122839
Name:HUFFMAN, ERIC DWIGHT (PT, BS, MBA)
Entity Type:Individual
Prefix:MR
First Name:ERIC
Middle Name:DWIGHT
Last Name:HUFFMAN
Suffix:
Gender:M
Credentials:PT, BS, MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:6050 LONG PRAIRIE RD
Mailing Address - Street 2:#600
Mailing Address - City:FLOWER MOUND
Mailing Address - State:TX
Mailing Address - Zip Code:75028-5613
Mailing Address - Country:US
Mailing Address - Phone:972-539-5795
Mailing Address - Fax:972-539-5793
Practice Address - Street 1:6050 LONG PRAIRIE RD
Practice Address - Street 2:#600
Practice Address - City:FLOWER MOUND
Practice Address - State:TX
Practice Address - Zip Code:75028-5613
Practice Address - Country:US
Practice Address - Phone:972-539-5795
Practice Address - Fax:972-539-5793
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-30
Last Update Date:2011-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1115194225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist