Provider Demographics
NPI:1285670794
Name:JOHN P HUFF MD PHD PA
Entity Type:Organization
Organization Name:JOHN P HUFF MD PHD PA
Other - Org Name:ARTHRITIS & OSTEOPOROSIS CENTER OF SOUTH TEXAS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SENIOR PARTNER/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:P
Authorized Official - Last Name:HUFF
Authorized Official - Suffix:
Authorized Official - Credentials:MD,PHD
Authorized Official - Phone:210-404-0020
Mailing Address - Street 1:PO BOX 2207
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78298-2207
Mailing Address - Country:US
Mailing Address - Phone:210-404-0020
Mailing Address - Fax:210-404-0325
Practice Address - Street 1:14615 SAN PEDRO
Practice Address - Street 2:STE 105
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78232-4321
Practice Address - Country:US
Practice Address - Phone:210-404-0020
Practice Address - Fax:210-404-0325
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-22
Last Update Date:2009-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ1691207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX176623001Medicaid
TX113354803Medicaid
TX45D0973176OtherCLIA NUMBER
TX45D0973176OtherCLIA NUMBER