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Individual

GAIL HUBBARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
113 PLEASANT VALLEY DR STE 210, BOERNE, TX 78006-5683
(830) 267-4575
Mailing address
113 PLEASANT VALLEY DR STE 210, BOERNE, TX 78006-5683
(830) 267-4575
(830) 267-4575

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
689163
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP129615
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
63-7339ZP2Z
TX
Enumeration date
08/05/2015
Last updated
09/03/2020
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