Individual
JEFFERY RUEBEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
221 3RD ST W BLDG 1040, JBSA RANDOLPH, TX 78150-4800
(210) 565-0362
Mailing address
221 3RD ST W BLDG 1040, JBSA RANDOLPH, TX 78150-4800
(210) 565-0362
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
10/14/2015
Last updated
06/16/2020
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