Provider Demographics
NPI:1467772863
Name:MECHELL, RUBEN JORDAN (DPM)
Entity Type:Individual
Prefix:DR
First Name:RUBEN
Middle Name:JORDAN
Last Name:MECHELL
Suffix:
Gender:M
Credentials:DPM
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Mailing Address - Street 1:8042 WURZBACH RD STE 450
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-3808
Mailing Address - Country:US
Mailing Address - Phone:210-899-1026
Mailing Address - Fax:210-692-0805
Practice Address - Street 1:3303 ROGERS RD STE 230
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78251
Practice Address - Country:US
Practice Address - Phone:210-899-1026
Practice Address - Fax:210-521-2016
Is Sole Proprietor?:No
Enumeration Date:2010-06-08
Last Update Date:2019-07-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX2064213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery