Healthcare Provider Details

I. General information

NPI: 1033506019
Provider Name (Legal Business Name): ALICE RENEE SPLINTER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ALICE RENEE HUBBELL

II. Dates (important events)

Enumeration Date: 04/17/2015
Last Update Date: 04/18/2025
Certification Date: 04/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 W. MAIN ST.
GUN BARREL CITY TX
75156-5312
US

IV. Provider business mailing address

PO BOX 1610
ATHENS TX
75751-9004
US

V. Phone/Fax

Practice location:
  • Phone: 903-887-1011
  • Fax: 903-603-9441
Mailing address:
  • Phone: 903-887-1011
  • Fax: 903-603-9441

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberR6109
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: