Individual
HENRY RUSSELL HUTTEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
10720 N LOOP DR, STE A-6, SOCORRO, TX 79927-4409
(915) 858-0500
Mailing address
10720 N LOOP DR, STE A-6, SOCORRO, TX 79927-4409
(915) 858-0500
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA04298
TX
Other
Enumeration date
04/24/2008
Last updated
04/18/2016
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