Individual
KATHRYN R. HUBBARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
113 FALLS CT, SUITE 100, BOERNE, TX 78006-2956
(830) 248-1222
(830) 248-1333
Mailing address
31101 AXIS RUN, FAIR OAKS RANCH, TX 78015-4266
(830) 755-8578
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
J5352
TX
Other
Enumeration date
07/07/2005
Last updated
07/08/2007
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