Individual
HALEY GALLUP HUTTING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4242 MEDICAL DR, SUITE 3100, SAN ANTONIO, TX 78229-5640
(210) 615-1187
(210) 614-2180
Mailing address
PO BOX 34717, SAN ANTONIO, TX 78265-4717
(210) 615-1187
(210) 614-2180
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Q1833
TX
207LP3000X
Pediatric Anesthesiology Physician
50491
CO
207LP3000X
Pediatric Anesthesiology Physician
Primary
Q1833
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
13989073
—
CO
Enumeration date
01/26/2007
Last updated
03/31/2015
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