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Individual

MR. NORMAN ZACHARY RUBIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
APRN, PMHNP-BC

Contact information

Practice address
2000 FM 1460 APT 2201, GEORGETOWN, TX 78626-4463
(606) 356-6040
Mailing address
2000 FM 1460 APT 2201, GEORGETOWN, TX 78626-4463
(606) 356-6040

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1104521
KY
163W00000X
Registered Nurse
435970
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
3005795
KY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP123171
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
30610026
KY
05
3317273-02
TX
01
AP123171
LICENSE
TX
Enumeration date
04/01/2008
Last updated
03/13/2024
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