Provider Demographics
NPI:1871782623
Name:HUFF, PATRICIA B (GNP-BC)
Entity type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:B
Last Name:HUFF
Suffix:
Gender:F
Credentials:GNP-BC
Other - Prefix:
Other - First Name:PATRICIA
Other - Middle Name:ANN BLOSSOM
Other - Last Name:HUFF
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:GNP-BC
Mailing Address - Street 1:7400 MERTON MINTER ST
Mailing Address - Street 2:MAIL CODE 112A
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-4404
Mailing Address - Country:US
Mailing Address - Phone:210-617-5300
Mailing Address - Fax:210-949-3311
Practice Address - Street 1:7400 MERTON MINTER ST
Practice Address - Street 2:MAIL CODE 112A
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-4404
Practice Address - Country:US
Practice Address - Phone:210-617-5300
Practice Address - Fax:210-949-3311
Is Sole Proprietor?:No
Enumeration Date:2007-10-17
Last Update Date:2013-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX582942363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner