Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | F9601 | TX |
N | 207QG0300X | Family Doctor - Geriatric Medicine | F9601 | TX |
NPI | 1003837006 |
---|---|
Provider Name | Howard J Huntzinger |
First Address | Dallas, TX 75243-3224 |
Second Address | Dallas, TX 75243-3224 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/07/2006 |
Last Update Date | 07/12/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
127009212 | (05) | TX |
127009213 | (05) | TX |
127009214 | (05) | TX |
212790401 | (05) | TX |
B23658 | (02) | TX |