Individual
CALLIE R HUBBARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN-BC
Contact information
Practice address
1703 S 3RD ST, MABANK, TX 75147-7301
(903) 255-7189
Mailing address
7124 STATE HIGHWAY 198, CANTON, TX 75103-4689
(903) 830-0228
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1081647
TX
Other
Enumeration date
06/07/2022
Last updated
09/24/2022
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