Provider Demographics
NPI:1346486743
Name:HUEBNER, JENNIFER DUNN (MD)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:DUNN
Last Name:HUEBNER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17183 INTERSTATE 45 SOUTH
Mailing Address - Street 2:SUITE 410
Mailing Address - City:THE WOODALNDS
Mailing Address - State:TX
Mailing Address - Zip Code:77385
Mailing Address - Country:US
Mailing Address - Phone:281-602-7380
Mailing Address - Fax:281-602-7386
Practice Address - Street 1:17183 INTERSTATE 45 S STE 410
Practice Address - Street 2:
Practice Address - City:SHENANDOAH
Practice Address - State:TX
Practice Address - Zip Code:77385
Practice Address - Country:US
Practice Address - Phone:832-602-7380
Practice Address - Fax:281-602-7386
Is Sole Proprietor?:No
Enumeration Date:2009-01-06
Last Update Date:2018-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN2119207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8L20425Medicare PIN
TX207815601Medicaid