Organization
EPSS LLC - EAST SERIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES R HUBLER MD (OWNER/PRESIDENT)
(817) 451-4208
Entity
Organization
Contact information
Practice address
6300 RIDGLEA PLACE, SUITE 201, FT. WORTH, TX 76116-5707
(817) 451-4208
(817) 563-3699
Mailing address
PO BOX 8316, FORT WORTH, TX 76124-0316
(817) 451-4208
(817) 563-3699
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036098328
IL
Other
Enumeration date
03/28/2013
Last updated
01/27/2014
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