Provider Demographics
NPI:1184785768
Name:HUFF, WILLIAM K (MD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:K
Last Name:HUFF
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:BILL
Other - Middle Name:K
Other - Last Name:HUFF
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 910252
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75391-0252
Mailing Address - Country:US
Mailing Address - Phone:903-342-5227
Mailing Address - Fax:
Practice Address - Street 1:719 W COKE RD STE 3
Practice Address - Street 2:
Practice Address - City:WINNSBORO
Practice Address - State:TX
Practice Address - Zip Code:75494-3060
Practice Address - Country:US
Practice Address - Phone:903-342-3781
Practice Address - Fax:903-342-6319
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-13
Last Update Date:2012-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF9597207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXF9597OtherLISCENSE PERMIT NUMBER
TX752771569005OtherTRICARE
TX8U8662OtherBCBS
TX8G49999Medicare ID - Type Unspecified
TXTXB144015Medicare Oscar/Certification
TX752771569005OtherTRICARE