Provider Demographics
NPI:1659627859
Name:AMAD, RUBA (OD)
Entity Type:Individual
Prefix:DR
First Name:RUBA
Middle Name:
Last Name:AMAD
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:27252 KATY FWY STE 300
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-1003
Mailing Address - Country:US
Mailing Address - Phone:832-743-0500
Mailing Address - Fax:832-743-0501
Practice Address - Street 1:27252 KATY FWY STE 300
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-1003
Practice Address - Country:US
Practice Address - Phone:832-743-0500
Practice Address - Fax:832-743-0501
Is Sole Proprietor?:No
Enumeration Date:2012-07-25
Last Update Date:2020-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8002TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist