Provider Demographics
NPI:1043679921
Name:HUBBARD, CHRISTIN M (DC)
Entity type:Individual
Prefix:DR
First Name:CHRISTIN
Middle Name:M
Last Name:HUBBARD
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9121 ADAMS LANE
Mailing Address - Street 2:STE. 120
Mailing Address - City:TEMPLE
Mailing Address - State:TX
Mailing Address - Zip Code:76502-5584
Mailing Address - Country:US
Mailing Address - Phone:254-531-0045
Mailing Address - Fax:254-531-0047
Practice Address - Street 1:9121 ADAMS LANE
Practice Address - Street 2:STE. 120
Practice Address - City:TEMPLE
Practice Address - State:TX
Practice Address - Zip Code:76502-5584
Practice Address - Country:US
Practice Address - Phone:254-531-0045
Practice Address - Fax:254-531-0047
Is Sole Proprietor?:No
Enumeration Date:2016-02-19
Last Update Date:2022-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS01-05781111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1346835881OtherNPI