Individual
MICHAEL JONAH RUBIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1004 S ROCK ST, WESTLAKE ANESTHESIA GROUP, PA, GEORGETOWN, TX 78626-5837
(512) 279-0348
(512) 371-8788
Mailing address
1004 S ROCK ST, WESTLAKE ANESTHESIA GROUP, PA, GEORGETOWN, TX 78626-5837
(512) 279-0348
(512) 371-8788
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
22618
NC
163W00000X
Registered Nurse
638205
CA
367500000X
Certified Registered Nurse Anesthetist
078638
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
AP122874
TX
367500000X
Certified Registered Nurse Anesthetist
APRN 4265
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
326099402
—
TX
05
—
8053281
—
NC
01
—
8489UJ
BCBS
TX
05
—
AN2080
—
SC
01
—
P01446743
RR
TX
Enumeration date
12/13/2007
Last updated
12/03/2021
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