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Organization

EPSS PEORIA LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JAMES T HUBLER MD (MANAGING PARTNER)
(817) 451-4208
Entity
Organization

Contact information

Practice address
5409 N KNOXVILLE AVE, ER DEPARTMENT, PEORIA, IL 61614-5069
(309) 689-8603
Mailing address
6300 RIDGLEA PL STE 201, FORT WORTH, TX 76116-5707
(817) 451-4208
(817) 563-3699

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary

Other

Enumeration date
02/14/2010
Last updated
05/24/2021
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