Provider Demographics
NPI:1548813926
Name:ALRUBAYE, SEROR ISMAEL (DDS)
Entity type:Individual
Prefix:
First Name:SEROR
Middle Name:ISMAEL
Last Name:ALRUBAYE
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2005 SPRINGBELL ST
Mailing Address - Street 2:
Mailing Address - City:ALEDO
Mailing Address - State:TX
Mailing Address - Zip Code:76008-2039
Mailing Address - Country:US
Mailing Address - Phone:210-639-5334
Mailing Address - Fax:
Practice Address - Street 1:794 KELLER PKWY
Practice Address - Street 2:
Practice Address - City:KELLER
Practice Address - State:TX
Practice Address - Zip Code:76248-2488
Practice Address - Country:US
Practice Address - Phone:817-431-1596
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-24
Last Update Date:2025-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX355701223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice