Individual
MEGAN HUBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
5420 WEST LOOP S, SUITE 2300, BELLAIRE, TX 77401-2107
(713) 650-6900
Mailing address
PO BOX 201576, DALLAS, TX 75320-1576
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA05505
TX
363AM0700X
Medical Physician Assistant
PA05505
TX
363AS0400X
Surgical Physician Assistant
Primary
PA05505
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8K4187
MEDICARE PTAN
TX
Enumeration date
10/10/2007
Last updated
08/24/2011
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