Subia, Russell D

Subia, Russell D is an individual health care provider with primary practice located at 2260 Linda Ave Ste. 201, Odessa TX 79763-2663. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Subia, Russell D can be contacted via phone (432) 333-3937.

Contact Information

Primary practice address
2260 Linda Ave Ste. 201 Odessa TX 79763-2663
Phone: (432) 333-3937
Fax: (432) 337-3937
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 6260 TG Texas

Profile Details

NPI number 1689773574
LBN Legal business name Subia, Russell D
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2006
Last updated Jan 29th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689773574 NPPES
Texas MEDICAID 154996601
Texas Other P00027861
Texas Other 134421
Texas Other 0024FC
Texas Other 489485001
Texas Other 81716Q

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