Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | Q7667 | TX |
Y | 207XS0106X | Orthopaedic Hand Surgeon | Q7667 | TX |
NPI | 1114121613 |
---|---|
Provider Name | Dr. Paul Joseph Chubb |
First Address | El Paso, TX 79913-0793 |
Second Address | El Paso, TX 79936-7653 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/06/2007 |
Last Update Date | 03/06/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
045533400 | (05) | MD |
102624203 | (05) | PA |
1601080 | GATEWAY (01) | PA |
2650846 | HIGHMARK BLUE SHIELD (01) | PA |
417220 | UPMC (01) | PA |
P01105025 | RAILROAD MEDICARE (01) | PA |