Doctor Name: | LAWRENCE EDWARD HUBER |
NPI Number: | 1790941995 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.O. |
License Number: | H4424 |
Business Practice Address: | 3150 Horton Rd Forest Hill, TX - 761195905 |
Business Phone Number: | 8174133414 |
Business Fax Number: | |
Mailing Address: | 3150 Horton Rd, FOREST HILL |
State: | TX |
Postal Code: | 761195905 |
Phone Number: | 8174133414 |
Fax Number: | |
NPI Enumeration Date: | 08/06/2008 |
NPI Last Update Date: | 08/06/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | H4424 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |