Provider Demographics
NPI:1013539956
Name:HUBEN, NEIL BARRINGTON (DO)
Entity type:Individual
Prefix:
First Name:NEIL
Middle Name:BARRINGTON
Last Name:HUBEN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1050 RIVER OAKS DR STE 200
Mailing Address - Street 2:
Mailing Address - City:FLOWOOD
Mailing Address - State:MS
Mailing Address - Zip Code:39232-9564
Mailing Address - Country:US
Mailing Address - Phone:601-420-0265
Mailing Address - Fax:601-709-2452
Practice Address - Street 1:1050 RIVER OAKS DR STE 2001050
Practice Address - Street 2:
Practice Address - City:FLOWOOD
Practice Address - State:MS
Practice Address - Zip Code:39232-9564
Practice Address - Country:US
Practice Address - Phone:601-420-0265
Practice Address - Fax:601-709-2452
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-14
Last Update Date:2024-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS33566207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty