Organization
BLUE HERON CENTER INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GAYL HUBATCH OMD (PRESIDENT)
(512) 266-2059
Entity
Organization
Contact information
Practice address
15204 GEBRON DR, AUSTIN, TX 78734-6306
(512) 266-2059
Mailing address
PO BOX 340266, AUSTIN, TX 78734-0005
(512) 266-2059
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC00271
TX
Other
Enumeration date
08/10/2006
Last updated
08/22/2020
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