Individual
DR. PETER RAPHAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6020 W PLANO PKWY, PLANO, TX 75093-4640
(972) 543-2477
(972) 543-2499
Mailing address
6020 W PLANO PKWY, PLANO, TX 75093-4640
(972) 543-2477
(972) 543-2499
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
G8361
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
138665814
—
TX
01
—
240007845
RAILROAD
TX
01
—
8F8560
BCBS
TX
Enumeration date
08/30/2006
Last updated
06/11/2021
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