Provider Demographics
NPI:1316942873
Name:STUBEE, BARBARA MARIE (MD)
Entity type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:MARIE
Last Name:STUBEE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2770 AERO DRIVE
Mailing Address - Street 2:#3
Mailing Address - City:PORT ARTHUR
Mailing Address - State:TX
Mailing Address - Zip Code:77640-1519
Mailing Address - Country:US
Mailing Address - Phone:409-727-6559
Mailing Address - Fax:409-727-0439
Practice Address - Street 1:2770 AERO DRIVE
Practice Address - Street 2:#3
Practice Address - City:PORT ARTHUR
Practice Address - State:TX
Practice Address - Zip Code:77640-1519
Practice Address - Country:US
Practice Address - Phone:409-727-6559
Practice Address - Fax:409-727-0439
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-20
Last Update Date:2017-02-08
Deactivation Date:2006-03-20
Deactivation Code:
Reactivation Date:2006-03-27
Provider Licenses
StateLicense IDTaxonomies
TXH2816207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX098301701Medicaid
TXE46802Medicare UPIN
TX098301701Medicaid