Individual ProviderVicki HubbardFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address903 W Martin St, San Antonio, TX 78207-0903(210) 358-9500PECOS EnrollmentBased on the most recent information from CMS, provider Vicki Hubbard is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1588796601Provider TypeIndividualFull NameHubbard, VickiCredentialMDGenderFemaleSole ProprietorNoEnumeration Date3/12/2007Last Updated1/22/2021Contact InformationPractice LocationPractice Address903 W Martin St, San Antonio, TX 78207-0903Phone(210) 358-9500Fax(210) 358-9183Mailing LocationMailing AddressPO Box 734812, Dallas, TX 75373-4812Phone(210) 358-9500Fax(210) 358-9183Provider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicenseL7758Texas