Individual
DR. JACQUELINE HUBBARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8210 WALNUT HILL LN, STE. 905, DALLAS, TX 75231-4405
(214) 378-7605
Mailing address
9101 LBJ FWY, STE 710, DALLAS, TX 75243-2057
(972) 792-5700
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
E5791
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8BM541
BCBS
TX
Enumeration date
12/08/2005
Last updated
02/13/2009
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