Provider Demographics
NPI:1922011964
Name:HUFFMAN, ANGELA RENEE (PA-C)
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:RENEE
Last Name:HUFFMAN
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:9494 SOUTHWEST FWY
Mailing Address - Street 2:SUITE 850
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77074-1419
Mailing Address - Country:US
Mailing Address - Phone:281-649-7000
Mailing Address - Fax:713-484-6649
Practice Address - Street 1:780 W SAM HOUSTON PKWY N
Practice Address - Street 2:SUITE 400
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-3943
Practice Address - Country:US
Practice Address - Phone:281-649-7500
Practice Address - Fax:713-468-1255
Is Sole Proprietor?:No
Enumeration Date:2006-08-14
Last Update Date:2016-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA02535363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXP00660Medicare UPIN
TXP00660Medicare UPIN