Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208G00000X | Cardiothoracic Vascular Surgeon | MD449052 | PA |
Y | 208G00000X | Cardiothoracic Vascular Surgeon | Q1626 | TX |
NPI | 1154532463 |
---|---|
Provider Name | Lynn C. Huffman |
First Address | Dallas, TX 75284-5347 |
Second Address | Dallas, TX 75390-7208 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/05/2007 |
Last Update Date | 16/09/2014 |