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Individual

BECKY SUZZANNE RUBIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
1004 SOUTH ROCK STREET, WESTLAKE ANESTHESIA GROUP, PA, GEORGETOWN, TX 78626
(512) 279-0348
(512) 371-8788
Mailing address
1004 SOUTH ROCK STREET, WESTLAKE ANESTHESIA GROUP, PA, GEORGETOWN, TX 78626
(512) 279-0348
(512) 371-8788

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
227332
NC
163W00000X
Registered Nurse
639142
CA
367500000X
Certified Registered Nurse Anesthetist
080884
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
AP122966
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8053313
NC
Enumeration date
04/07/2008
Last updated
12/14/2021
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