Individual
MRS. KATHLEEN HUBBARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1139 E SONTERRA BLVD STE 520, SAN ANTONIO, TX 78258-4347
(210) 490-6000
Mailing address
1139 E SONTERRA BLVD STE 520, SAN ANTONIO, TX 78258-4347
(210) 490-6000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP135169
TX
363LF0000X
Family Nurse Practitioner
AP135169
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
390056501
—
TX
01
—
691433
MCR
—
01
—
8JT435
BCBS
TX
Enumeration date
03/03/2018
Last updated
01/27/2022
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