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Individual

DR. EMERY C. HUBER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D

Contact information

Practice address
2080 NORTH HIGHWAY 360 #125, GRAND PRAIRIE, TX 75050-1400
(817) 633-2020
(214) 788-2373
Mailing address
2080 NORTH HIGHWAY 360, STE:125, GRAND PRAIRIE, TX 75050-1400
(817) 633-2020
(214) 788-2373

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2519 TG
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
75-1822552
TAX ID
TX
01
DR3272
GROUP PTAN -RAILROAD RETIREMENT
TX
Enumeration date
07/28/2006
Last updated
10/08/2014
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