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NPI Code Detail

MEDICARE: MEGAN K STUBINSKI

MEDICARE: MEGAN K STUBINSKI
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometrist7228TGTX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
17228TGOTHERTXLICENSE NUMBER

General Provider Information

NPI Number : 1063675239
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEGAN K STUBINSKI
Provider Business Mailing Address
First Line : 13615 BELLAIRE BLVD
Second Line :
City : HOUSTON
State : TX
Zip : 77083-1714
Country : US
Telephone Number : 281-933-3446
Fax Number : 281-933-6865
Provider Business Practice Location Address
First Line : 13615 BELLAIRE BLVD
Second Line :
City : HOUSTON
State : TX
Zip : 77083-1714
Country : US
Telephone Number : 281-933-3446
Fax Number : 281-933-6865
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/08/2008
Last Update Date : 01/24/2009

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Directions to “ MEGAN K STUBINSKI ” Practice Location

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