Individual
DR. RAFAEL COMACHO CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
E2169
TX
2085R0202X
Diagnostic Radiology Physician
Primary
E2169
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
132672009
—
TX
05
—
132672010
—
TX
01
—
8S3354
BLUE CROSS OF TEXAS
TX
Enumeration date
06/12/2006
Last updated
04/25/2008
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