MEDICARE: MENDIOLA-RUBIO, PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	5452T	TX

General Provider Information

NPI Number	:	1063588192
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MENDIOLA-RUBIO, PA

Provider Business Mailing Address
First Line	:	12030 BANDERA RD STE 112
Second Line	:
City	:	HELOTES
State	:	TX
Zip	:	78023-4736
Country	:	US
Telephone Number	:	210-509-9998
Fax Number	:	210-509-4272

Provider Business Practice Location Address
First Line	:	12030 BANDERA RD STE 112
Second Line	:
City	:	HELOTES
State	:	TX
Zip	:	78023-4736
Country	:	US
Telephone Number	:	210-509-9998
Fax Number	:	210-509-4272

Authorized Official
Title or Position	:	OWNER
Name	:	DR. SABRINA L RUBIO
Credential	:	O.D.
Telephone Number	:	210-509-9998

Provider Enumeration Date	:	11/28/2006
Last Update Date	:	07/16/2025

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