Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | F8517 | TX |
N | 111NI0900X | Internist | F8517 | TX |
Y | 207RA0201X | Internist - Allergy & Immunology | F8517 | TX |
NPI | 1164510996 |
---|---|
Provider Name | Dr. David P Huston |
First Address | Houston, TX 77030-2717 |
Second Address | Houston, TX 77030-2717 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/10/2006 |
Last Update Date | 06/01/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
130529411 | (05) | TX |
8FJ095 | BLUE CROSS BLUE SHIELD (01) | TX |
C17265 | (02) | TX |