Provider Demographics
NPI:1689690646
Name:RUBIN, ALAN MARC (MD)
Entity Type:Individual
Prefix:DR
First Name:ALAN
Middle Name:MARC
Last Name:RUBIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1449 HIGHWAY 6
Mailing Address - Street 2:SUITE 300
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478-5145
Mailing Address - Country:US
Mailing Address - Phone:281-768-6730
Mailing Address - Fax:281-768-6929
Practice Address - Street 1:1449 HIGHWAY 6
Practice Address - Street 2:SUITE 300
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-5145
Practice Address - Country:US
Practice Address - Phone:281-768-6730
Practice Address - Fax:281-768-6929
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-14
Last Update Date:2013-09-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXG78742084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
C21394Medicare UPIN
TX281510YPASMedicare PIN