Individual
ARLIS WAYNE HIBBARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
409 RUSSELL BLVD, SUITE E, NACOGDOCHES, TX 75965
(936) 560-2595
(936) 560-5621
Mailing address
409 RUSSELL BLVD, SUITE E, NACOGDOCHES, TX 75965
(936) 560-2595
(936) 560-5621
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
F6742
TX
Other
Enumeration date
10/11/2006
Last updated
07/08/2007
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