| Doctor Name: | ALEXANDRA HUBBARD |
| NPI Number: | 1043681653 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | |
| Business Practice Address: | Rr 3 Box 231 Chelsea, OK - 740169004 |
| Business Phone Number: | 9188508411 |
| Business Fax Number: | |
| Mailing Address: | Rr 3 Box 231, CHELSEA |
| State: | OK |
| Postal Code: | 740169004 |
| Phone Number: | 9188508411 |
| Fax Number: | |
| NPI Enumeration Date: | 10/08/2015 |
| NPI Last Update Date: | 10/08/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251V00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Voluntary or Charitable |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |