Organization
NUBY PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELISABED RODRIGUEZ (OFFICE MANAGER)
(940) 566-5437
Entity
Organization
Contact information
Practice address
1208 BENT OAKS CT, DENTON, TX 76210-3300
(940) 566-5437
(940) 323-0553
Mailing address
1208 BENT OAKS CT, DENTON, TX 76210-3300
(940) 566-5437
(940) 323-0553
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0011NJ
BCBSTX
TX
01
—
10046727
AMERIGROUP
TX
01
—
178528602
MEDICAID THS
TX
05
—
178582601
—
TX
Enumeration date
05/23/2006
Last updated
01/21/2026
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