Provider Demographics
NPI:1558544775
Name:RUBIN, HOWARD ALAN (MD)
Entity Type:Individual
Prefix:DR
First Name:HOWARD
Middle Name:ALAN
Last Name:RUBIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:12890 HILLCREST RD
Mailing Address - Street 2:STE. 203
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75230-1504
Mailing Address - Country:US
Mailing Address - Phone:972-386-9600
Mailing Address - Fax:972-386-9994
Practice Address - Street 1:12890 HILLCREST RD
Practice Address - Street 2:STE. 203
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75230-1504
Practice Address - Country:US
Practice Address - Phone:972-386-9600
Practice Address - Fax:972-386-9994
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-11
Last Update Date:2008-02-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXH6566207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXF29577Medicare UPIN
TX00R15EMedicare PIN