Provider Demographics
NPI:1558991505
Name:HUBBARD, CLAUDRA JO
Entity Type:Individual
Prefix:MS
First Name:CLAUDRA
Middle Name:JO
Last Name:HUBBARD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12623 SKYVIEW CREEK CT
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77047-6527
Mailing Address - Country:US
Mailing Address - Phone:713-385-6966
Mailing Address - Fax:832-767-0536
Practice Address - Street 1:12623 SKYVIEW CREEK CT
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77047-6527
Practice Address - Country:US
Practice Address - Phone:713-385-6966
Practice Address - Fax:832-767-0536
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-17
Last Update Date:2020-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3104A0625XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Mental IllnessGroup - Single Specialty
No103TM1800XBehavioral Health & Social Service ProvidersPsychologistIntellectual & Developmental DisabilitiesGroup - Single Specialty