Provider Demographics
NPI:1740222835
Name:HUFF, GUY L (DC)
Entity Type:Individual
Prefix:DR
First Name:GUY
Middle Name:L
Last Name:HUFF
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
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:832-201-6712
Practice Address - Street 1:7111 HARWIN DR
Practice Address - Street 2:STE 132
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-2129
Practice Address - Country:US
Practice Address - Phone:713-498-6866
Practice Address - Fax:832-201-6712
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-12
Last Update Date:2012-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6870111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX14395-3802Medicaid
TX605566Medicare ID - Type UnspecifiedMEDICARE ID
TX14395-3802Medicaid