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NPI Code Detail

MEDICARE: GINA RENEA STUBBS DO

MEDICARE:   GINA RENEA STUBBS  DO
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
1207Q00000XFamily Medicine Physician220369NY
2207Q00000XFamily Medicine PhysicianM3756TX

General Provider Information

NPI Number : 1770596041
Entity Type Code : Individual
Provider Name (Legal Business Name) : GINA RENEA STUBBS DO
Provider Business Mailing Address
First Line : PO BOX 746079
Second Line :
City : ATLANTA
State : GA
Zip : 30374-6079
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 9417 MESA DR STE A
Second Line :
City : HOUSTON
State : TX
Zip : 77028-1253
Country : US
Telephone Number : 713-848-7780
Fax Number : 833-710-0641
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/15/2006
Last Update Date : 05/07/2025

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Directions to “ GINA RENEA STUBBS DO” Practice Location

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