Provider Demographics
NPI:1881071595
Name:HUFFORD, SEAN MAXWELL (PA-C)
Entity type:Individual
Prefix:MR
First Name:SEAN
Middle Name:MAXWELL
Last Name:HUFFORD
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:764 CLEARBROOK AVE
Mailing Address - Street 2:
Mailing Address - City:SCHERTZ
Mailing Address - State:TX
Mailing Address - Zip Code:78108-3436
Mailing Address - Country:US
Mailing Address - Phone:909-262-4582
Mailing Address - Fax:
Practice Address - Street 1:COMMANDING OFFICER
Practice Address - Street 2:USS TUSCON SSN 770
Practice Address - City:FPO
Practice Address - State:AP
Practice Address - Zip Code:96674-2397
Practice Address - Country:US
Practice Address - Phone:909-262-4582
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-05-01
Last Update Date:2023-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No1710I1002XOther Service ProvidersMilitary Health Care ProviderIndependent Duty Corpsman