Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NR0400X | Rehabilitation Chiropractor | 11957 | TX |
NPI | 1437154762 |
---|---|
Provider Name | Dr. Glenn Bryan Huff |
First Address | San Antonio, TX 78232-5052 |
Second Address | San Antonio, TX 78232-5052 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/06/2005 |
Last Update Date | 08/08/2013 |