Provider Demographics
NPI:1275753857
Name:HUFF HEALTHCARE SYSTEM
Entity Type:Organization
Organization Name:HUFF HEALTHCARE SYSTEM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LEW
Authorized Official - Middle Name:
Authorized Official - Last Name:HUFF
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:713-498-6866
Mailing Address - Street 1:PO BOX 571951
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77257-1951
Mailing Address - Country:US
Mailing Address - Phone:713-498-6866
Mailing Address - Fax:
Practice Address - Street 1:6600 HARWIN DR
Practice Address - Street 2:SUITE 110
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-2276
Practice Address - Country:US
Practice Address - Phone:713-498-6866
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-26
Last Update Date:2012-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6870111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX14395-3802Medicaid
TX605566Medicare ID - Type Unspecified
TX14395-3802Medicaid