Stubbs, Garry Wayne

Stubbs, Garry Wayne is an individual health care provider with primary practice located at 4201 West Bee Caves Rd Suite B112, Austin TX 78746. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Stubbs, Garry Wayne can be contacted via phone (512) 327-4886.

Contact Information

Primary practice address
4201 West Bee Caves Rd Suite B112 Austin TX 78746
Fax: (512) 327-4958
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X H8442 Texas
Allopathic & Osteopathic Physicians / General Practice 208D00000X H8442 Texas

Profile Details

NPI number 1255371126
LBN Legal business name Stubbs, Garry Wayne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2006
Last updated Oct 27th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255371126 NPPES
Other 8A2421 MEDICARE ID
MEDICAID 123450206 MEDICARE ID

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