Provider Demographics
NPI:1922254796
Name:HUGGHINS, JOE E (DC)
Entity Type:Individual
Prefix:
First Name:JOE
Middle Name:E
Last Name:HUGGHINS
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 5440
Mailing Address - Street 2:
Mailing Address - City:LONGVIEW
Mailing Address - State:TX
Mailing Address - Zip Code:75608-5440
Mailing Address - Country:US
Mailing Address - Phone:903-295-8510
Mailing Address - Fax:903-295-3885
Practice Address - Street 1:1011 W LOOP 281
Practice Address - Street 2:SUITE 3
Practice Address - City:LONGVIEW
Practice Address - State:TX
Practice Address - Zip Code:75604-2970
Practice Address - Country:US
Practice Address - Phone:903-295-8510
Practice Address - Fax:903-295-3885
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-13
Last Update Date:2008-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UTDC6443111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX079673201Medicaid
TX78JSOtherBCBSTX
TX8212M0Medicare PIN
TXU45050Medicare UPIN
TX00046RMedicare PIN