Provider Demographics
NPI:1912978933
Name:HUFF, JOHN PAUL (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:PAUL
Last Name:HUFF
Suffix:
Gender:M
Credentials:MD, PHD
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 1567
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78296-1567
Mailing Address - Country:US
Mailing Address - Phone:210-571-1300
Mailing Address - Fax:210-519-2811
Practice Address - Street 1:422 W NAKOMA ST
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78216-2623
Practice Address - Country:US
Practice Address - Phone:210-571-1300
Practice Address - Fax:210-519-2811
Is Sole Proprietor?:No
Enumeration Date:2006-01-28
Last Update Date:2019-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ1691207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX113354803Medicaid
8955B9Medicare PIN
TX113354803Medicaid