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Individual
MR. SETH MITCHELL RUBIN
Active
Individual
MR. SETH MITCHELL RUBIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA01524
TX
363AM0700X
Medical Physician Assistant
PA01524
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
835N14
BC/BS TX - EFFECT. 02/01/2011
TX
01
—
8N4557
BLUE CROSS BLUE SHIELD
TX
01
—
P00954362
RAILRAOD MEDICARE
TX
01
—
TXB121238
MEDICARE PART B EFFECT 02/01/2011
TX
Enumeration date
06/07/2006
Last updated
12/16/2019
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