1043679921 NPI number — DR. CHRISTIN M HUBBARD D.C.

Table of content: DR. CHRISTIN M HUBBARD D.C. (NPI 1043679921)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1043679921 NPI number — DR. CHRISTIN M HUBBARD D.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HUBBARD
Provider First Name:
CHRISTIN
Provider Middle Name:
M
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
D.C.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1043679921
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/15/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
9121 ADAMS LANE
Provider Second Line Business Mailing Address:
STE. 120
Provider Business Mailing Address City Name:
TEMPLE
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
76502-5584
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
254-531-0045
Provider Business Mailing Address Fax Number:
254-531-0047

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
9121 ADAMS LANE
Provider Second Line Business Practice Location Address:
STE. 120
Provider Business Practice Location Address City Name:
TEMPLE
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
76502-5584
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
254-531-0045
Provider Business Practice Location Address Fax Number:
254-531-0047
Provider Enumeration Date:
02/19/2016

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 111N00000X , with the licence number:  01-05781 , registered in the state of KS ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1346835881 . This is a "NPI" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com