Individual
DANISHA M HUDDLESTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
800 8TH AVE, SUITE 616, FORT WORTH, TX 76104-2601
(682) 224-3748
Mailing address
800 8TH AVE, SUITE 616, FORT WORTH, TX 76104-2601
(682) 224-3748
(682) 841-0039
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
06/27/2013
Last updated
05/04/2016
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