Provider Demographics
NPI:1639426802
Name:THE RUBIN HEART CLINIC LLC
Entity Type:Organization
Organization Name:THE RUBIN HEART CLINIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATION
Authorized Official - Prefix:
Authorized Official - First Name:LIZA
Authorized Official - Middle Name:V
Authorized Official - Last Name:RUBIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:901-752-5661
Mailing Address - Street 1:2095 EXETER RD STE 80
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:TN
Mailing Address - Zip Code:38138-3919
Mailing Address - Country:US
Mailing Address - Phone:901-728-3910
Mailing Address - Fax:901-206-2216
Practice Address - Street 1:4500 SUNNY ISLE STE 9
Practice Address - Street 2:
Practice Address - City:CHRISTIANSTED
Practice Address - State:VI
Practice Address - Zip Code:00820-4493
Practice Address - Country:US
Practice Address - Phone:340-778-1802
Practice Address - Fax:340-778-6460
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-07
Last Update Date:2019-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty