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NPI Code Detail

MEDICARE: DR. EARL C. RUBY D.O.

MEDICARE: DR. EARL C. RUBY D.O.
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
1207Q00000XFamily Medicine PhysicianL0917TX

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2343164YL7AOTHERTXMEDICARE - OTHER

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1396969176
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. EARL C. RUBY D.O.
Provider Business Mailing Address
First Line : 4440 E HIGHWAY 287
Second Line :
City : MIDLOTHIAN
State : TX
Zip : 76065-5576
Country : US
Telephone Number : 972-723-5590
Fax Number : 972-723-5592
Provider Business Practice Location Address
First Line : 4440 E HIGHWAY 287
Second Line :
City : MIDLOTHIAN
State : TX
Zip : 76065-5576
Country : US
Telephone Number : 972-723-5590
Fax Number : 972-723-5592
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/12/2007
Last Update Date : 06/16/2016

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Directions to “ DR. EARL C. RUBY D.O.” Practice Location

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