Individual
GARY ALAN DEBAKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
17376 NORTHWEST FWY, JERSEY VILLAGE, TX 77040-1114
(832) 919-8445
(832) 919-8446
Mailing address
17376 NORTHWEST FWY, JERSEY VILLAGE, TX 77040-1114
(329) 198-4458
(329) 198-4468
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
G3282
TX
208VP0000X
Pain Medicine Physician
G3282
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
035419302
—
TX
Enumeration date
10/17/2006
Last updated
06/28/2021
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