Organization Active NPI

G.a.Debakey M.D. P.a.

  • Gynecology Physician
  • Tomball, TX
National Provider Identifier
1487086427
Registry record updated Aug 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
G3282 Issued in TX
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

Updated by the provider on Aug 1, 2013

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)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
0030YKOtherTXBLUE CROSS BLUE SHIELD
149150801MedicaidTX
DB377OtherTXRAILROAD MEDICARE

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.