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Individual
TATE CHRISTOPHER RUBLEY
Active
Individual
TATE CHRISTOPHER RUBLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA06777
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
218142201
—
TX
01
—
827N92
BCBS
TX
01
—
P01231409
RAILROAD MEDICARE
TX
Enumeration date
06/16/2010
Last updated
08/08/2022
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