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Individual

ERIC HEINZ HUBLI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1500 COOPER ST, FORT WORTH, TX 76104-2710
(682) 885-2500
(682) 885-2510
Mailing address
PO BOX 733784, DALLAS, TX 75373-3784
(682) 885-1855
(682) 885-1396

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
J3499
TX
2082S0099X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
Primary
J3499
TX

Other

Enumeration date
05/10/2006
Last updated
04/27/2021
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