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Contact Information

GROVER C HUBLEY JR, MD
813 SOUTH STATE STREET SUITE 100
MADISONVILLE, TX77864
 Phone: 936-348-3515
 Fax: 936-348-3163
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for GROVER C HUBLEY JR · (Male)

NPI # 1720197437
Status Active
Credentials MD
Entity Individual
Enumeration date 08/29/2006
Last updated 10/24/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • TX License # E4423
  • TX Medicaid 130980904
  • Other 1669557179 GROUP NPI
  • TX Other 93043 SCOTT & WHITE
Hospital affiliation(s)
  • MADISON ST JOSEPH HEALTH CENTER - (Critical Access)
    100 WEST CROSS STREET
    MADISONVILLE, TX 77864
  • ST JOSEPH REGIONAL HEALTH CENTER - (Acute Care)
    2801 FRANCISCAN DR
    BRYAN, TX 77802
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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