Individual
DR. GREGORY S HUPP
Active
Individual
DR. GREGORY S HUPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
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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