Provider Demographics
NPI:1508130923
Name:CHARLES N. RUBEY, M.D.,P.A.
Entity Type:Organization
Organization Name:CHARLES N. RUBEY, M.D.,P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:NATHAN
Authorized Official - Last Name:RUBEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:214-691-1203
Mailing Address - Street 1:8210 WALNUT HILL LN
Mailing Address - Street 2:SUITE 910
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75231-4405
Mailing Address - Country:US
Mailing Address - Phone:214-691-1203
Mailing Address - Fax:214-691-1505
Practice Address - Street 1:8210 WALNUT HILL LN
Practice Address - Street 2:SUITE 910
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-4405
Practice Address - Country:US
Practice Address - Phone:214-691-1203
Practice Address - Fax:214-691-1505
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-02
Last Update Date:2012-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXD6319208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty