Organization
G.A.DEBAKEY M.D. P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY ALAN DEBAKEY M.D. (OWNER)
(281) 351-1195
Entity
Organization
Contact information
Practice address
11609 SPRING CYPRESS RD, SUITE A, TOMBALL, TX 77377-8917
(281) 351-1195
(281) 351-0519
Mailing address
11609 SPRING CYPRESS RD, SUITE A, TOMBALL, TX 77377-8917
(281) 351-1195
(281) 351-0519
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
G3282
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0030YK
BLUE CROSS BLUE SHIELD
TX
05
—
149150801
—
TX
01
—
DB377
RAILROAD MEDICARE
TX
Enumeration date
08/01/2013
Last updated
08/01/2013
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