Provider Demographics
NPI:1083488571
Name:RUBIO, NATALIE MARIE (ND)
Entity Type:Individual
Prefix:DR
First Name:NATALIE
Middle Name:MARIE
Last Name:RUBIO
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2804 TEJAS AVE APT 924
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76116-0742
Mailing Address - Country:US
Mailing Address - Phone:626-494-7817
Mailing Address - Fax:
Practice Address - Street 1:2804 TEJAS AVE APT 924
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76116-0742
Practice Address - Country:US
Practice Address - Phone:626-494-7817
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-14
Last Update Date:2023-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath