Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | P3307 | TX |
NPI | 1003059080 |
---|---|
Provider Name | Dr. Nora Teresa Cubillos |
First Address | The Woodlands, TX 77380-1480 |
Second Address | San Antonio, TX 78232-1902 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/04/2009 |
Last Update Date | 09/11/2020 |