Provider Demographics
NPI:1336125954
Name:STUBBERS, SHEENA (MD)
Entity Type:Individual
Prefix:DR
First Name:SHEENA
Middle Name:
Last Name:STUBBERS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6560 FANNIN ST
Mailing Address - Street 2:SUITE 1950
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-2761
Mailing Address - Country:US
Mailing Address - Phone:713-441-4280
Mailing Address - Fax:713-790-2860
Practice Address - Street 1:6560 FANNIN ST
Practice Address - Street 2:SUITE 1950
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2761
Practice Address - Country:US
Practice Address - Phone:713-441-4280
Practice Address - Fax:713-790-2860
Is Sole Proprietor?:No
Enumeration Date:2005-12-15
Last Update Date:2016-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK5707207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8CN627OtherBLUE CROSS BLUE SHIELD
TXP00895532OtherRR MEDICARE
8V4453OtherBCBS
P00333635OtherRR MEDICARE
TXP00895532OtherRR MEDICARE
8G5801Medicare PIN
TX8CN627OtherBLUE CROSS BLUE SHIELD