Provider Demographics
NPI:1780676858
Name:HUFF, THOMAS JOSEPH (DO)
Entity Type:Individual
Prefix:MR
First Name:THOMAS
Middle Name:JOSEPH
Last Name:HUFF
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:5505 S EXPRESSWAY 77
Mailing Address - Street 2:STE 302
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78550-3214
Mailing Address - Country:US
Mailing Address - Phone:956-428-4321
Mailing Address - Fax:956-428-4696
Practice Address - Street 1:5505 S EXPRESSWAY 77
Practice Address - Street 2:STE 302
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78550-3214
Practice Address - Country:US
Practice Address - Phone:956-428-4321
Practice Address - Fax:956-428-4696
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-16
Last Update Date:2008-08-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXK0495207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1107104-02Medicaid
TX0097BQMedicare PIN
G49605Medicare UPIN