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Individual

REX HUBBARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4600 AMBASSADOR CAFFERY PKWY, LAFAYETTE, LA 70508-6902
(337) 521-9239
(337) 521-9268
Mailing address
4600 AMBASSADOR CAFFERY PKWY, LAFAYETTE, LA 70508-6902
(337) 521-9239
(337) 521-9268

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD200828
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02871338
MS
05
1013307
LA
Enumeration date
09/04/2006
Last updated
09/03/2008
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