Provider Demographics
NPI:1497190805
Name:HUEBNER BARIATRIC PLLC
Entity Type:Organization
Organization Name:HUEBNER BARIATRIC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:PILCHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-614-3370
Mailing Address - Street 1:4207 GARDENDALE ST
Mailing Address - Street 2:SUITE 100B
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-3182
Mailing Address - Country:US
Mailing Address - Phone:210-616-9990
Mailing Address - Fax:210-298-9416
Practice Address - Street 1:9150 HUEBNER RD
Practice Address - Street 2:SUITE 250
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78240-1558
Practice Address - Country:US
Practice Address - Phone:210-614-3370
Practice Address - Fax:210-614-6859
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-30
Last Update Date:2013-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Multi-Specialty