Individual
STEPHEN ANTHONY RUBIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
382 SATSUMA DR, BUDA, TX 78610-2177
(361) 676-0541
Mailing address
382 SATSUMA DR, BUDA, TX 78610-2177
(361) 676-0541
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2094609
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
22520000X
—
TX
Enumeration date
05/13/2019
Last updated
06/11/2019
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