Individual provider Active NPI

Angela Renee Huffman, P.A.-C.

  • Medical Physician Assistant
  • Houston, TX
National Provider Identifier
1922011964
Registry record updated Jun 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA02535 Issued in TX
Practice address
780 W Sam Houston Pkwy N
Suite 400
Houston, TX 77024-3943
Phone
(281) 649-7500
Fax
(713) 468-1255
NPI assigned
Aug 14, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050302000210 TX Practitioner - Physician Assistant 7214980267 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Clinics of Longview CurrentSince Mar 5, 2012 Accepting new patients
ENT and Allergy Associates of Texas PLLC PastSince Jan 1, 2026 Accepting new patients
East Texas Allergy & Asthma Associates Past Accepting new patients

Locations

701 E Marshall Ave
Ste 300
Longview, TX 75601
Phone (903) 315-2730

1009 N 4th St
Ste A
Longview, TX 75601
Phone (903) 757-3808

805 Medical Cir
Longview, TX 75605
Phone (903) 232-8100

Interoperability endpoints

  • Direct secure messaging: ahuffman226704@directhoustonmethodist.org

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA02535 TX Primary

Addresses

NPPES NPI Registry

Primary practice location

780 W Sam Houston Pkwy N
Suite 400
Houston, TX 77024-3943

Mailing address

9494 Southwest Fwy
Suite 850
Houston, TX 77074-1419
Phone (281) 649-7000

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 8, 2016.

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465344000000",
    "number": "1922011964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9494 SOUTHWEST FWY",
            "address_2": "SUITE 850",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770741419",
            "telephone_number": "281-649-7000",
            "fax_number": "713-484-6649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 W SAM HOUSTON PKWY N",
            "address_2": "SUITE 400",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770243943",
            "telephone_number": "281-649-7500",
            "fax_number": "713-468-1255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUFFMAN",
        "first_name": "ANGELA",
        "middle_name": "RENEE",
        "credential": "P.A.-C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-14",
        "last_updated": "2016-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA02535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.