MEDICARE: DR. SHARI PAULETTE RUBIN M.D.

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
1	207R00000X	Internal Medicine Physician	N1113	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P01515950	OTHER	TX	RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	8EZ912	OTHER	TX	BLUE CROSS BLUE SHIELD
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1083869820
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SHARI PAULETTE RUBIN M.D.

Provider Business Mailing Address
First Line	:	5110 BUFFALO SPEEDWAY
Second Line	:	SUITE 200
City	:	HOUSTON
State	:	TX
Zip	:	77005-4218
Country	:	US
Telephone Number	:	713-363-7460
Fax Number	:	713-660-0706

Provider Business Practice Location Address
First Line	:	5110 BUFFALO SPEEDWAY
Second Line	:	SUITE 200
City	:	HOUSTON
State	:	TX
Zip	:	77005-4218
Country	:	US
Telephone Number	:	713-363-7460
Fax Number	:	713-660-0706

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/20/2008
Last Update Date	:	11/04/2015

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