Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 122300000X | Dentist | 15867 | TX |
NPI | 1013039510 |
---|---|
Provider Name | Dr. Janet Huggard |
First Address | Waco, TX 76707 |
Second Address | Waco, TX 76707-2261 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/04/2007 |
Last Update Date | 02/06/2016 |