Provider Demographics
NPI:1316939663
Name:RUBIO, SABRINA LEE (OD)
Entity type:Individual
Prefix:
First Name:SABRINA
Middle Name:LEE
Last Name:RUBIO
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:12030 BANDERA RD
Mailing Address - Street 2:SUITE 112
Mailing Address - City:HELOTES
Mailing Address - State:TX
Mailing Address - Zip Code:78023-4735
Mailing Address - Country:US
Mailing Address - Phone:210-509-9998
Mailing Address - Fax:210-509-4272
Practice Address - Street 1:12030 BANDERA RD
Practice Address - Street 2:SUITE 112
Practice Address - City:HELOTES
Practice Address - State:TX
Practice Address - Zip Code:78023-4735
Practice Address - Country:US
Practice Address - Phone:210-509-9998
Practice Address - Fax:210-509-4272
Is Sole Proprietor?:No
Enumeration Date:2005-08-22
Last Update Date:2016-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX5452T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXU71687Medicare UPIN
TXU71687Medicare UPIN