Doctor Name: | MR. STAN I TUBBS |
NPI Number: | 1205015294 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | SOCIAL WORKER MSW |
License Number: | 08537 |
Business Practice Address: | 18806 Roberts Rd Hockley, TX - 774479327 |
Business Phone Number: | 2813514976 |
Business Fax Number: | 2813514978 |
Mailing Address: | 18806 Roberts Rd, HOCKLEY |
State: | TX |
Postal Code: | 774479327 |
Phone Number: | 2813514976 |
Fax Number: | 2813514978 |
NPI Enumeration Date: | 10/26/2007 |
NPI Last Update Date: | 10/29/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 08537 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |