Individual
GARRY WAYNE STUBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4201 WEST BEE CAVES RD, SUITE B112, AUSTIN, TX 78746
(512) 327-4886
(512) 327-4958
Mailing address
4201 WEST BEE CAVES RD, SUITE B112, AUSTIN, TX 78746
(512) 327-4886
(512) 327-4958
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
H8442
TX
208D00000X
General Practice Physician
Primary
H8442
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123450206
—
TX
01
—
8A2421
MEDICARE ID
—
Enumeration date
06/07/2006
Last updated
10/27/2008
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