Provider Demographics
NPI:1326366766
Name:HUBBARD, EILEEN S (RNFA)
Entity Type:Individual
Prefix:
First Name:EILEEN
Middle Name:S
Last Name:HUBBARD
Suffix:
Gender:F
Credentials:RNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 9329
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77387-9329
Mailing Address - Country:US
Mailing Address - Phone:281-296-7377
Mailing Address - Fax:281-296-7255
Practice Address - Street 1:9200 PINECROFT DR
Practice Address - Street 2:SUITE 220
Practice Address - City:SHENANDOAH
Practice Address - State:TX
Practice Address - Zip Code:77380-3279
Practice Address - Country:US
Practice Address - Phone:281-296-7377
Practice Address - Fax:281-296-7255
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-10
Last Update Date:2010-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX465437163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant