Provider Demographics
NPI:1962158139
Name:MOBILE PSYCH PLLC
Entity type:Organization
Organization Name:MOBILE PSYCH PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:SAFA
Authorized Official - Middle Name:
Authorized Official - Last Name:RUBAYE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:210-550-4533
Mailing Address - Street 1:7800 W INTERSTATE 10 STE 624
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78230-4750
Mailing Address - Country:US
Mailing Address - Phone:210-550-4533
Mailing Address - Fax:
Practice Address - Street 1:7800 W INTERSTATE 10 STE 624
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78230-4750
Practice Address - Country:US
Practice Address - Phone:210-550-4533
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-26
Last Update Date:2024-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
No305S00000XManaged Care OrganizationsPoint of Service