Provider Demographics
NPI:1619076460
Name:TUBBS, GAYE (PT)
Entity Type:Individual
Prefix:MS
First Name:GAYE
Middle Name:
Last Name:TUBBS
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8380 WARREN PKWY
Mailing Address - Street 2:STE 502
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-4198
Mailing Address - Country:US
Mailing Address - Phone:214-618-8075
Mailing Address - Fax:214-618-8055
Practice Address - Street 1:8380 WARREN PKWY
Practice Address - Street 2:STE 502
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-4198
Practice Address - Country:US
Practice Address - Phone:214-618-8075
Practice Address - Fax:214-618-8055
Is Sole Proprietor?:No
Enumeration Date:2006-09-21
Last Update Date:2011-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1047280225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist