Provider Demographics
NPI:1275768632
Name:COBARRUBIAS, FRANCISCO JAVIER (OTR)
Entity Type:Individual
Prefix:MR
First Name:FRANCISCO
Middle Name:JAVIER
Last Name:COBARRUBIAS
Suffix:
Gender:M
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3611 N WARE RD
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78501-3304
Mailing Address - Country:US
Mailing Address - Phone:956-688-6969
Mailing Address - Fax:956-688-6970
Practice Address - Street 1:3611 N WARE RD
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78501-3304
Practice Address - Country:US
Practice Address - Phone:956-688-6969
Practice Address - Fax:956-688-6970
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-28
Last Update Date:2009-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX261QR0401X261QR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX184743601Medicaid