Provider Demographics
NPI:1922295518
Name:WILLIAM R. RUBLEE
Entity Type:Organization
Organization Name:WILLIAM R. RUBLEE
Other - Org Name:LAREDO REHAB & THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PROPRIETOR
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:R
Authorized Official - Last Name:RUBLEE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:956-712-1444
Mailing Address - Street 1:502 W CALTON RD
Mailing Address - Street 2:SUITE 107
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78041-6630
Mailing Address - Country:US
Mailing Address - Phone:956-712-1444
Mailing Address - Fax:956-712-2287
Practice Address - Street 1:502 W CALTON RD
Practice Address - Street 2:SUITE 107
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78041-6630
Practice Address - Country:US
Practice Address - Phone:956-712-1444
Practice Address - Fax:956-712-2287
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-27
Last Update Date:2007-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX4029111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX601408Medicare PIN