Provider Demographics
NPI:1588692917
Name:HUBBARD, JOE C JR (MD)
Entity type:Individual
Prefix:DR
First Name:JOE
Middle Name:C
Last Name:HUBBARD
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1100 W REYNOSA AVE
Mailing Address - Street 2:
Mailing Address - City:DE LEON
Mailing Address - State:TX
Mailing Address - Zip Code:76444-1630
Mailing Address - Country:US
Mailing Address - Phone:254-893-5895
Mailing Address - Fax:888-895-1214
Practice Address - Street 1:1100 W REYNOSA AVE
Practice Address - Street 2:
Practice Address - City:DE LEON
Practice Address - State:TX
Practice Address - Zip Code:76444-1630
Practice Address - Country:US
Practice Address - Phone:254-893-5895
Practice Address - Fax:888-895-1214
Is Sole Proprietor?:No
Enumeration Date:2006-06-28
Last Update Date:2023-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG8185207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX120459605Medicaid
84Z206OtherBLUE CROSS
TX120459603Medicaid
TX110125821OtherRRMC
115551100OtherFIRST CARE
TX120459605Medicaid
00U18UMedicare ID - Type Unspecified
TX110125821OtherRRMC