Organization
BRAD HUBBARD MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRADLEY HUBBARD MD (OWNER)
(214) 370-4813
Entity
Organization
Contact information
Practice address
9101 N CENTRAL EXPY, SUITE 600, DALLAS, TX 75231-5927
(214) 370-4813
(469) 375-3844
Mailing address
9101 N CENTRAL EXPY, SUITE 600, DALLAS, TX 75231-5927
(214) 370-4813
(469) 375-3844
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
N8931
TEXAS MEDICAL BOARD PHYSICIAN LICENSE PERMIT
TX
Enumeration date
05/16/2012
Last updated
02/07/2020
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