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Individual
MR. GROVER CLEVELAND HUBLEY JR.
Active
Individual
MR. GROVER CLEVELAND HUBLEY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E4423
TX
207QG0300X
Geriatric Medicine (Family Medicine) Physician
E4423
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
130980904
—
TX
01
—
1669557179
GROUP NPI
—
01
—
93043
SCOTT & WHITE
TX
Enumeration date
08/29/2006
Last updated
10/24/2011
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