Provider Demographics
NPI:1306950654
Name:ZUBAY, GEOFFREY (MD)
Entity type:Individual
Prefix:DR
First Name:GEOFFREY
Middle Name:
Last Name:ZUBAY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:6400 FANNIN ST
Mailing Address - Street 2:STE. 2510
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-1521
Mailing Address - Country:US
Mailing Address - Phone:713-704-6772
Mailing Address - Fax:713-704-1796
Practice Address - Street 1:9200 PINECROFT DR
Practice Address - Street 2:STE. 130
Practice Address - City:SHENANDOAH
Practice Address - State:TX
Practice Address - Zip Code:77380-3279
Practice Address - Country:US
Practice Address - Phone:713-897-5900
Practice Address - Fax:713-897-2545
Is Sole Proprietor?:No
Enumeration Date:2006-08-17
Last Update Date:2011-11-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXN6798207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8CV457OtherBCBSTX
TX218968002Medicaid
CAH86826Medicare UPIN
TX218968002Medicaid
TXTXB132935Medicare PIN
TXTXB132937Medicare PIN