Individual
MADDIE JESSICA KUBILIUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
6201 HARRY HINES BLVD, DALLAS, TX 75390-7708
(214) 633-5555
Mailing address
PO BOX 845347, DALLAS, TX 75284-7208
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
284389
MA
207RG0100X
Gastroenterology Physician
Primary
T2419
TX
Other
Enumeration date
04/10/2014
Last updated
08/03/2021
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