Individual
DANNY SALAH RAFATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
1500 COOPER ST, FORT WORTH, TX 76104-2710
(682) 885-1990
(682) 885-1985
Mailing address
PO BOX 733784, DALLAS, TX 75373-3784
(682) 885-1855
(682) 885-1396
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
N5956
TX
2080P0206X
Pediatric Gastroenterology Physician
Primary
N5956
TX
Other
Enumeration date
11/08/2010
Last updated
04/22/2021
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