Provider Demographics
NPI:1386268076
Name:TUBAILA, LAILA (FACPM/ CHES-MPH)
Entity type:Individual
Prefix:
First Name:LAILA
Middle Name:
Last Name:TUBAILA
Suffix:
Gender:
Credentials:FACPM/ CHES-MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7703 HOLLOW GLEN LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77072-3117
Mailing Address - Country:US
Mailing Address - Phone:832-800-1309
Mailing Address - Fax:
Practice Address - Street 1:7703 HOLLOW GLEN LN
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77072-3117
Practice Address - Country:US
Practice Address - Phone:832-800-1309
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-29
Last Update Date:2025-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX34269174H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator