Individual
MICHAEL KUBIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
201 RIO GRANDE DR, WAXAHACHIE, TX 75165-2460
(417) 496-5391
Mailing address
201 RIO GRANDE DR, WAXAHACHIE, TX 75165-2460
(417) 496-5391
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
11/03/2023
Last updated
11/03/2023
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