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Individual

ELLIOTT CLAY HUFFARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
8850 LONG POINT RD, HOUSTON, TX 77055-3006
(713) 827-1820
(713) 468-7370
Mailing address
PO BOX 203057, HOUSTON, TX 77216-3057
(281) 358-8114
(281) 358-0609

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
633667
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
049543
AANA RECERTIFICATION
01
81021U
BLUE CROSS/BLUE SHIELD
TX
Enumeration date
11/30/2005
Last updated
07/08/2007
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