Provider Demographics
NPI:1083869820
Name:RUBIN, SHARI PAULETTE (MD)
Entity Type:Individual
Prefix:DR
First Name:SHARI
Middle Name:PAULETTE
Last Name:RUBIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:5110 BUFFALO SPEEDWAY
Mailing Address - Street 2:SUITE 200
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77005-4218
Mailing Address - Country:US
Mailing Address - Phone:713-363-7460
Mailing Address - Fax:713-660-0706
Practice Address - Street 1:5110 BUFFALO SPEEDWAY
Practice Address - Street 2:SUITE 200
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77005-4218
Practice Address - Country:US
Practice Address - Phone:713-363-7460
Practice Address - Fax:713-660-0706
Is Sole Proprietor?:No
Enumeration Date:2008-11-20
Last Update Date:2015-11-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXN1113207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXP01515950OtherRR MEDICARE
TX8EZ912OtherBLUE CROSS BLUE SHIELD
TX207562402Medicaid
TX404202YMVQMedicare PIN