Provider Information for 1053027938
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Miss RUBINA PINA LPC, MED
Sex: Female
NPI: 1053027938
Last Updated: 2024-08-14
Certification Date: 2024-08-14
Certification Date: 2024-08-14
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1053027938 | ||||||||
| Enumeration Date | 2023-01-25 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | PO BOX 543 GOODRICH, TX 77335-0543 United States Phone: 832-318-7431 | Fax: | ||||||||
| Primary Practice Address | 128 VISION PARK BLVD STE 230 SHENANDOAH, TX 77384-3018 United States Phone: 832-346-8082 | Fax: | ||||||||
| Secondary Practice Address(es) | 504 TURNER ST | ||||||||
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