MEDICARE: DR. JEFFREY DAVID REUBEN 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	207X00000X	Orthopaedic Surgery Physician	H3152	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1457391062
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JEFFREY DAVID REUBEN M.D.

Provider Business Mailing Address
First Line	:	PO BOX 770248
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77215-0248
Country	:	US
Telephone Number	:	713-521-7870
Fax Number	:	713-521-7919

Provider Business Practice Location Address
First Line	:	4126 SOUTHWEST FWY
Second Line	:	SUITE 700
City	:	HOUSTON
State	:	TX
Zip	:	77027-7310
Country	:	US
Telephone Number	:	713-521-7870
Fax Number	:	713-521-7919

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

Provider Enumeration Date	:	06/08/2006
Last Update Date	:	03/05/2012

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