Provider Demographics
NPI:1518121177
Name:RHUBARB, P.L.L.C.
Entity Type:Organization
Organization Name:RHUBARB, P.L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:JASON
Authorized Official - Middle Name:J
Authorized Official - Last Name:FORBES
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:281-363-3156
Mailing Address - Street 1:116 MEDICAL PARK LN
Mailing Address - Street 2:SUITE C
Mailing Address - City:HUNTSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:77340-4978
Mailing Address - Country:US
Mailing Address - Phone:281-363-3156
Mailing Address - Fax:281-364-9653
Practice Address - Street 1:116 MEDICAL PARK LN
Practice Address - Street 2:SUITE C
Practice Address - City:HUNTSVILLE
Practice Address - State:TX
Practice Address - Zip Code:77340-4978
Practice Address - Country:US
Practice Address - Phone:281-363-3156
Practice Address - Fax:281-364-9653
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-14
Last Update Date:2008-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM9281207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty