Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0105X | Surgery of the Hand | N5735 | TX |
NPI | 1962590976 |
---|---|
Provider Name | Dr. Rebel Renee Huffman |
First Address | Tyler, TX 75713-0189 |
Second Address | Tyler, TX 75701-8336 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/10/2006 |
Last Update Date | 06/05/2020 |