Individual
DR. LISA MARIE HAUBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
17510 W GRAND PKWY S STE 490, SUGAR LAND, TX 77479-2649
(713) 772-1200
(713) 255-6315
Mailing address
13811 MURPHY RD, STAFFORD, TX 77477-4903
(713) 772-1200
(713) 790-0616
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
57.011741
OH
208C00000X
Colon & Rectal Surgery Physician
Primary
P7927
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8FG853
BLUE CROSS BLUE SHIELD
TX
Enumeration date
05/04/2007
Last updated
09/17/2024
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