Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207T00000X | Neurosurgeon | 390200000X | NY |
Y | 207T00000X | Neurosurgeon | R8978 | TX |
NPI | 1013160209 |
---|---|
Provider Name | Dr. David Rubin |
First Address | Dallas, TX 75204-2581 |
Second Address | Irving, TX 75038-6117 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/10/2008 |
Last Update Date | 17/08/2020 |