=====================================================
General NPI Number Information
=====================================================
NPI Number | 1396350625
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | INAS IMAD ALRUBAYE
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/14/2020
-----------------------------------------------------
Last Update Date | 09/12/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 4214 ANDREWS HWY STE 100B
-----------------------------------------------------
City | MIDLAND
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 79703-4872
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 432-686-7474
-----------------------------------------------------
Fax | 432-686-7524
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 4214 ANDREWS HWY STE 100B
-----------------------------------------------------
City | MIDLAND
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 79703-4872
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 432-686-7474
-----------------------------------------------------
Fax | 432-686-7524
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 237700000X
-----------------------------------------------------
Taxonomy Name | Hearing Instrument Specialist
-----------------------------------------------------
License Number | 11810
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 237700000X
-----------------------------------------------------
Taxonomy Name | Hearing Instrument Specialist
-----------------------------------------------------
License Number | 80954
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------