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NPI Code Detail

MEDICARE: MORTON L.RUBIN DO PA

MEDICARE: MORTON L.RUBIN DO 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
1207Q00000XFamily Medicine PhysicianE9374TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10062KYOTHERTXBLUECROSS BLUESHIELD

General Provider Information

NPI Number : 1871535666
Entity Type Code : Organization
Provider Name (Legal Business Name) : MORTON L.RUBIN DO PA
Provider Business Mailing Address
First Line : 7338 MCHENRY
Second Line :
City : HOUSTON
State : TX
Zip : 77087-3633
Country : US
Telephone Number : 713-644-4442
Fax Number : 713-644-8964
Provider Business Practice Location Address
First Line : 7338 MCHENRY
Second Line :
City : HOUSTON
State : TX
Zip : 77087-3633
Country : US
Telephone Number : 713-644-4442
Fax Number : 713-644-8964
Authorized Official
Title or Position : MANAGER
Name : MRS. JUDY REYES
Credential :
Telephone Number : 713-644-4442
Provider Enumeration Date : 06/13/2006
Last Update Date : 11/14/2007

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Directions to “MORTON L.RUBIN DO PA ” Practice Location

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