Provider Demographics
NPI:1376598177
Name:LABUGA, EARL A (PA-C)
Entity Type:Individual
Prefix:
First Name:EARL
Middle Name:A
Last Name:LABUGA
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1200 BINZ ST
Mailing Address - Street 2:SUITE 670
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77004-6900
Mailing Address - Country:US
Mailing Address - Phone:713-523-8884
Mailing Address - Fax:713-523-9075
Practice Address - Street 1:1200 BINZ ST
Practice Address - Street 2:SUITE 670
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77004-6900
Practice Address - Country:US
Practice Address - Phone:713-523-8884
Practice Address - Fax:713-523-9075
Is Sole Proprietor?:No
Enumeration Date:2006-05-23
Last Update Date:2007-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA02457363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8B1560Medicare ID - Type Unspecified