National Provider Identifier Database

RUBIS PLASTIC SURGERY PLLC
Plastic and Reconstructive Surgery


Contact Information

RUBIS PLASTIC SURGERY, PLLC
10119 E 80TH ST
SUITE A
TULSA, OK74133-3407
Phone: 918-254-6793
Fax: 918-254-6796
Website:
Specialty Taxonomy Code
* Plastic and Reconstructive Surgery 2086S0122X
Surgery of the Hand 2082S0105X

* Indicates primary specialty

NPI Profile & details for RUBIS PLASTIC SURGERY, PLLC

NPI Number 1013071166
Legal business name
LBN
RUBIS PLASTIC SURGERY, PLLC
Authorized official BRENT RUBIS - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 12/21/2006
Last updated 06/18/2013 - About 13 years ago
Sole proprietor1 Not specified
Identifiers
  • OK License #: 21510
  • OK Medicaid: 100749040A

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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