MITCHELL HUEBNER MD NPI 1801436753

NPI Information

MITCHELL HUEBNER, MD is a primary care clinic center in Dallas, TX. MITCHELL HUEBNER, MD NPI is 1801436753. The provider is registered as an organization entity type.

The provider's business location address is:

5477 GLEN LAKES DR STE 100
DALLAS, TX
ZIP 75231-381
Phone: (214) 361-2277
Fax: (214) 361-2273

The provider's authorized official is Mitchell Lee Huebner .
The authorized official title is Owner and has the following contact phone number (214) 361-2277.

The CLIA number assigned to this NPI record is 45D2179011 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/8/2020 and was last updated on 3/17/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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