Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | S9521 | TX |
NPI | 1598110462 |
---|---|
Provider Name | Christina Huddleston |
First Address | Indianapolis, IN 46202-5109 |
Second Address | Dallas, TX 75231-4416 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/04/2016 |
Last Update Date | 09/11/2021 |