Provider Demographics
NPI:1215986419
Name:HUBLER, LLOYD DAVID (MD)
Entity type:Individual
Prefix:DR
First Name:LLOYD
Middle Name:DAVID
Last Name:HUBLER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:DAVID
Other - Middle Name:
Other - Last Name:HUBLER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:221 RAINBOW DR # 12153
Mailing Address - Street 2:
Mailing Address - City:LIVINGSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77399-5074
Mailing Address - Country:US
Mailing Address - Phone:214-714-8514
Mailing Address - Fax:605-328-6512
Practice Address - Street 1:221 RAINBOW DR # 12153
Practice Address - Street 2:
Practice Address - City:LIVINGSTON
Practice Address - State:TX
Practice Address - Zip Code:77399-1008
Practice Address - Country:US
Practice Address - Phone:214-714-8514
Practice Address - Fax:888-203-0175
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-08
Last Update Date:2024-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE0992207X00000X, 207X00000X
NMMD2011-0762207X00000X, 207X00000X
WAMD60576013207X00000X
HIMD-15086207X00000X
WV23052207X00000X
SD12506208000000X
NH13963207X00000X
MO20009017804207X00000X
MI43010914168207X00000X
OK23657207X00000X
VA101244568207X00000X
ORMD186494207X00000X
IN01067789A207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN000000647372OtherANTHEM
OK200019500AMedicaid
IN200974490Medicaid
OK200019500AMedicaid
OKB23615Medicare UPIN
IN000000647372OtherANTHEM