Active NPI
G.a.Debakey M.D. P.a.
- Gynecology Physician
- Tomball, TX
National Provider Identifier
1487086427
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- G3282
- Legal business name
- G.A.DEBAKEY M.D. P.A.
- Practice address
- 11609 Spring Cypress Rd
Suite a
Tomball, TX 77377-8917 - Phone
- (281) 351-1195
- Fax
- (281) 351-0519
- NPI assigned
- Aug 1, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gary Alan Debakey, M.D.
- Title
- Owner
- Phone
- (281) 351-1195
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | G3282 | TX | Primary |
Addresses
Primary practice location
11609 Spring Cypress Rd
Suite a
Tomball, TX 77377-8917
Mailing address
11609 Spring Cypress Rd
Suite a
Tomball, TX 77377-8917
Phone (281) 351-1195
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0030YK | Other | TX | BLUE CROSS BLUE SHIELD |
| 149150801 | Medicaid | TX | |
| DB377 | Other | TX | RAILROAD MEDICARE |
National Provider Directory
National Provider DirectoryLocations
11609 Spring Cypress Rd
Ste A
Tomball, TX 77377
Phone (281) 351-1195
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375315200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1375315200000",
"number": "1487086427",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11609 SPRING CYPRESS RD",
"address_2": "SUITE A",
"city": "TOMBALL",
"state": "TX",
"postal_code": "773778917",
"telephone_number": "281-351-1195",
"fax_number": "281-351-0519"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11609 SPRING CYPRESS RD",
"address_2": "SUITE A",
"city": "TOMBALL",
"state": "TX",
"postal_code": "773778917",
"telephone_number": "281-351-1195",
"fax_number": "281-351-0519"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "G.A.DEBAKEY M.D. P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2013-08-01",
"last_updated": "2013-08-01",
"status": "A",
"authorized_official_last_name": "DEBAKEY",
"authorized_official_first_name": "GARY",
"authorized_official_middle_name": "ALAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "281-351-1195",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "TX",
"license": "G3282",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "0030YK",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "149150801",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "DB377",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tomball, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.