Individual
BRENT ALBERT RUBIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10119 E 80TH ST, STE. A, TULSA, OK 74133-3407
(918) 254-6793
(918) 254-6796
Mailing address
10119 E 80TH ST, STE. A, TULSA, OK 74133-3407
(918) 254-6793
(918) 254-6796
Taxonomy
Speciality
Code
Description
License number
State
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
21510
OK
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
21510
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100181350A
—
OK
01
—
1323612001
CIGNA
OK
01
—
1980515
UNITED HEALTHCARE
OK
01
—
2542190
AETNA
OK
01
—
7017123
AETNA
OK
Enumeration date
03/02/2006
Last updated
06/14/2013
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