Individual
DR. GREGORY S HUPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
650 STATE HIGHWAY 16 S, BANDERA, TX 78003-3809
(866) 679-7901
(866) 541-9162
Mailing address
PO BOX 2973, BANDERA, TX 78003-2973
(866) 679-7901
(866) 541-9162
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
31593
TX
103TC0700X
Clinical Psychologist
Primary
31593
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0036MX
BCBS
TX
05
—
178235101
—
TX
Enumeration date
10/05/2005
Last updated
04/18/2012
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