Individual
CRAIG DOUGLAS RUBIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5323 HARRY HINES BLVD., DALLAS, TX 75390-7201
(214) 645-8650
(214) 645-8669
Mailing address
P.O. BOX 845347, DALLAS, TX 75284-5347
(214) 645-8650
(214) 645-8669
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
G3067
TX
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
G3067
TX
208D00000X
General Practice Physician
G3067
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
124084803
—
TX
Enumeration date
03/24/2006
Last updated
06/12/2012
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