Individual
CHARLES JASON HUBBARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1015 E 32ND ST, STE 101, AUSTIN, TX 78705-2707
(512) 477-6341
(512) 244-1013
Mailing address
1015 E. 32ND ST., STE 101, AUSTIN, TX 78705
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
1625
TX
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
1625
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
158150601
—
TX
01
—
8H3950
BCBS OF TEXAS
TX
Enumeration date
03/17/2006
Last updated
11/22/2016
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