Tubbs, Michael Jerome

Tubbs, Michael Jerome is an individual health care provider with primary practice located at 2126 Beacon Light Ln , Fresno TX 77545. He recently has 2 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Surgical Technologist, Technologists, Technicians & Other Technical Service Providers / Surgical Assistant. Technologists, Technicians & Other Technical Service Providers / Surgical Assistant is his primary health care specialty. Tubbs, Michael Jerome can be contacted via phone (832) 428-1862.

Contact Information

Primary practice address
2126 Beacon Light Ln Fresno TX 77545
Phone: (832) 428-1862
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Surgical Technologist 246ZS0410X 4081 Texas
Technologists, Technicians & Other Technical Service Providers / Surgical Assistant 246ZC0007X 4081 Texas

Profile Details

NPI number 1225442551
LBN Legal business name Tubbs, Michael Jerome
Credentials CSA
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2014
Last updated Jun 11th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225442551 NPPES
Texas Other 4081 CERTIFIED SURGICAL ASSISTANTS

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