Provider Demographics
NPI:1235224577
Name:STUBITS, EVA SYLVIA (PHD)
Entity Type:Individual
Prefix:DR
First Name:EVA
Middle Name:SYLVIA
Last Name:STUBITS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4550 POST OAK PLACE DR
Mailing Address - Street 2:STE 141
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77027-3106
Mailing Address - Country:US
Mailing Address - Phone:713-629-0220
Mailing Address - Fax:713-629-0760
Practice Address - Street 1:4550 POST OAK PLACE DR
Practice Address - Street 2:STE 141
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77027-3106
Practice Address - Country:US
Practice Address - Phone:713-629-0220
Practice Address - Fax:713-629-0760
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2016-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX22159103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0361974-01Medicaid
00TN49OtherBCBS
TX0361974-01Medicaid