Individual
LAEL DAVID HUBBARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2020 YOSEMITE LN, KELLER, TX 76248-9744
(817) 999-4482
Mailing address
2020 YOSEMITE LN, KELLER, TX 76248-9744
(817) 999-4482
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
207732
LA
207R00000X
Internal Medicine Physician
207732
LA
Other
Enumeration date
04/12/2013
Last updated
11/03/2016
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