Individual
DR. HANNAH GRUBB DEPPISCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4800 NE STALLINGS DR, SUITE 115, NACOGDOCHES, TX 75965-1250
(936) 205-9820
(936) 205-9819
Mailing address
4800 NE STALLINGS DR, SUITE 115, NACOGDOCHES, TX 75965-1250
(936) 205-9820
(936) 205-9819
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
N3611
TX
207RC0000X
Cardiovascular Disease Physician
Primary
N3611
TX
Other
Enumeration date
06/02/2008
Last updated
09/02/2015
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