Individual
DR. THOMAS R. STUBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1337 S SAM HOUSTON BLVD, SUITE 300, HOUSTON, MO 65483-2046
(417) 967-5435
(417) 967-5503
Mailing address
7917 MINERAL DR, HOUSTON, MO 65483-1388
(417) 967-0057
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
R9C09
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500253307
—
MO
Enumeration date
06/06/2006
Last updated
04/23/2008
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