=====================================================
General NPI Number Information
=====================================================
NPI Number | 1538237763
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | DR. RUBEN ALEMAN & ASSOCIATES
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/04/2006
-----------------------------------------------------
Last Update Date | 10/16/2017
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 4408 N MCCOLL RD
-----------------------------------------------------
City | MCALLEN
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78504-2480
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 956-686-5432
-----------------------------------------------------
Fax | 956-686-4395
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 4408 N MCCOLL RD
-----------------------------------------------------
City | MCALLEN
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78504-2480
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 956-686-5432
-----------------------------------------------------
Fax | 956-686-4395
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | MD/PRESIDENT
-----------------------------------------------------
Name | RUBEN ALEMAN
-----------------------------------------------------
Credential | MD
-----------------------------------------------------
Telephone | 956-686-5432
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207Q00000X
-----------------------------------------------------
Taxonomy Name | Family Medicine Physician
-----------------------------------------------------
License Number | G3106
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------