Mitchell Huebner, Md | |
5477 Glen Lakes Dr Ste 100 Dallas TX 75231-4381 | |
(214) 361-2277 | |
(214) 361-2273 |
Full Name | Mitchell Huebner, Md |
---|---|
Speciality | Clinic/Center |
Location | 5477 Glen Lakes Dr Ste 100, Dallas, Texas |
Authorized Official Name and Position | Mitchell Lee Huebner (OWNER) |
Authorized Official Contact | 2143612277 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Mitchell Huebner, Md 5477 Glen Lakes Dr Ste 100 Dallas TX 75231-4381 Ph: (214) 361-2277 | Mitchell Huebner, Md 5477 Glen Lakes Dr Ste 100 Dallas TX 75231-4381 Ph: (214) 361-2277 |
NPI Number | 1801436753 |
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Provider Enumeration Date | 01/08/2020 |
Last Update Date | 03/17/2020 |
Medicare PECOS PAC ID | 3678901048 |
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Medicare Enrollment ID | O20200318000544 |
Identifier | Type | State | Issuer |
---|---|---|---|
1801436753 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Mitchell L Huebner |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1215938071 PECOS PAC ID: 5597867283 Enrollment ID: I20070227000364 |
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