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NPI Code Detail

MEDICARE: MADILYN TUBBS

MEDICARE: MADILYN TUBBS
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
1235Z00000XSpeech-Language Pathologist

General Provider Information

NPI Number : 1780518712
Entity Type Code : Individual
Provider Name (Legal Business Name) : MADILYN TUBBS
Provider Business Mailing Address
First Line : 1600 W UNIVERSITY BLVD
Second Line :
City : DURANT
State : OK
Zip : 74701-3045
Country : US
Telephone Number : 580-740-0205
Fax Number : 580-634-2848
Provider Business Practice Location Address
First Line : 1600 W UNIVERSITY BLVD
Second Line :
City : DURANT
State : OK
Zip : 74701-3045
Country : US
Telephone Number : 580-740-0205
Fax Number : 580-634-2848
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/12/2026
Last Update Date : 06/12/2026

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Directions to “ MADILYN TUBBS ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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