Provider Demographics
NPI:1851386353
Name:RUBIN, JAY MICHEL (MD)
Entity Type:Individual
Prefix:DR
First Name:JAY
Middle Name:MICHEL
Last Name:RUBIN
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Gender:M
Credentials:MD
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Mailing Address - Street 1:999 E BASSE RD
Mailing Address - Street 2:SUITE 128-B
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78209-1801
Mailing Address - Country:US
Mailing Address - Phone:210-826-2012
Mailing Address - Fax:210-829-8349
Practice Address - Street 1:999 E BASSE RD
Practice Address - Street 2:SUITE 128-B
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78209-1801
Practice Address - Country:US
Practice Address - Phone:210-826-2012
Practice Address - Fax:210-829-8349
Is Sole Proprietor?:No
Enumeration Date:2005-09-12
Last Update Date:2014-01-09
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Provider Licenses
StateLicense IDTaxonomies
TXHO778207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
EO7445Medicare UPIN