Healthcare Provider Details
I. General information
NPI: 1083911143
Provider Name (Legal Business Name): NUBIA G LLUBERES RINCON M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 02/24/2011
Last Update Date: 09/27/2024
Certification Date: 09/27/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3131 EASTSIDE ST STE 450
HOUSTON TX
77098-1947
US
IV. Provider business mailing address
3131 EASTSIDE ST STE 450
HOUSTON TX
77098-1947
US
V. Phone/Fax
- Phone: 832-789-3093
- Fax: 833-282-6717
- Phone: 832-789-3093
- Fax: 833-282-6717
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2084P0800X |
| Taxonomy | Psychiatry Physician |
| License Number | BP10031718 |
| License Number State | TX |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2084P0800X |
| Taxonomy | Psychiatry Physician |
| License Number | 24802 |
| License Number State | WV |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2084P0800X |
| Taxonomy | Psychiatry Physician |
| License Number | MD455293 |
| License Number State | PA |
| # 4 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2084P0800X |
| Taxonomy | Psychiatry Physician |
| License Number | P3380 |
| License Number State | TX |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: