Individual
TIMOTHY LEBRON HUGGINS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1508 SANTA FE DR, SUITE 102, WEATHERFORD, TX 76086-5858
(817) 341-3300
(817) 341-3311
Mailing address
1508 SANTA FE DR, SUITE 102, WEATHERFORD, TX 76086-5858
(817) 341-3300
(817) 341-3311
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
J2612
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
171261401
—
TX
Enumeration date
08/17/2005
Last updated
07/08/2007
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