Provider Demographics
NPI:1518607506
Name:RUBIO'S COMPANY LLC
Entity Type:Organization
Organization Name:RUBIO'S COMPANY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MAIQUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:RUBIO PAVON
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:832-742-0666
Mailing Address - Street 1:3016 FRY RD
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77449-6240
Mailing Address - Country:US
Mailing Address - Phone:832-742-0666
Mailing Address - Fax:832-742-0665
Practice Address - Street 1:3016 FRY RD
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77449-6240
Practice Address - Country:US
Practice Address - Phone:832-742-0666
Practice Address - Fax:832-742-0665
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-29
Last Update Date:2022-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty