Jodie Lee Marie Rubal in Azle - General Practice
Jodie Lee Marie Rubal - NPI 1164443891
Jodie Lee Marie Rubal is a General Practice in Azle, Texas. Jodie Lee Marie Rubal practices all healthcare services and medical treatments related to General Practice. The NPI Number for Jodie Lee Marie Rubal is 1164443891. The last update date is 2007-07-08.
Jodie Lee Marie Rubal's current location address is 209 W Main St, Azle, Texas. You can contact this provider via phone number 8174442585 and fax number 8174444254. The mailing address for Jodie Lee Marie Rubal is 209 W Main St, Azle, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jodie Lee Marie Rubal |
|---|---|
| Address | 209 W Main St, Azle, Texas |
| Phone Number | 8174442585 |
| Fax Number | 8174444254 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1164443891 |
|---|---|
| Provider Enumeration Date | 2006-07-21 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 209 W Main St |
|---|---|
| City | Azle |
| State | Texas (TX) |
| Post Code | 760203177 |
| Phone Number | 8174442585 |
| Fax Number | 8174444254 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 18887 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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What is the unique 10-digit identification code assigned to Jodie Lee Marie Rubal by the Centers for Medicare & Medicaid Services?
The Jodie Lee Marie Rubal has been issued the NPI (National Provider Identifier) 1164443891, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Jodie Lee Marie Rubal?
The Jodie Lee Marie Rubal is situated at 209 W Main St, in the city of Azle, state of TX, with the zip code 760203177.
What is the Jodie Lee Marie Rubal's specialty and taxonomy code?
The Jodie Lee Marie Rubal's specialty is General Practice, and the corresponding taxonomy code is 1223G0001X.
On what date was the 1164443891 assigned to Jodie Lee Marie Rubal?
The Jodie Lee Marie Rubal was issued its 1164443891 on 2006-07-21, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Jodie Lee Marie Rubal, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Jodie Lee Marie Rubal, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.