Individual
DR. BRACHA TOVA RUBIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
11503 NW MILITARY HWY, SUITE 301, SAN ANTONIO, TX 78231-1896
(210) 697-1600
(210) 493-6714
Mailing address
PO BOX 781221, SAN ANTONIO, TX 78278-1221
(210) 697-1600
(210) 493-6714
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
32561
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001ME
BCBS PROVIDER NUMBER
TX
Enumeration date
06/12/2006
Last updated
06/18/2012
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