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Crystal Nichole Rubio, PA

Physician Assistant in Shavano Park, TX. Individual provider (NPI-1).

NPI number1346978673
StatusActive
Last updated in NPPESJun 25, 2026

Details

NPI
1346978673
Entity type
Individual (NPI-1)
Name
Crystal Nichole Rubio
Credential
PA
Sex
Female
Sole proprietor
No
Enumeration date
Aug 14, 2022
Certification date
Jun 25, 2026
Last updated
Jun 25, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant––Yes
390200000X Student in an Organized Health Care Education/Training Program––

Practice location

3503 Paesanos Pkwy Ste 201
Shavano Park, TX 78231-1225

Phone 210-504-3650 · Fax 210-519-3045

Mailing address

1201 W University Dr
Edinburg, TX 78539-2909

Phone 956-665-7049

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