| Organization Name: | TERRY D. TUBB, MD,PA |
| NPI Number: | 1013212646 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | TERRY D TUBB (PROPRIETOR) |
| Mailing Address: | 1304 W Texas Ave Midland |
| State: | TX US |
| Postal Code: | 797016176 |
| Phone Number: | 4326837821 |
| Fax Number: | 4326838915 |
| NPI Enumeration Date: | 01/12/2011 |
| NPI Last Update Date: | 10/18/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2086S0122X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Surgery |
| Taxonomy Specialization: | Plastic and Reconstructive Surgery |
| Taxonomy Definition: | A surgeon who specializes in plastic and reconstructive surgery. |