Organization
RAFAEL ESPADA MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSE BAGLIA (BUSINESS MANAGER)
(713) 790-4556
Entity
Organization
Contact information
Practice address
6560 FANNIN ST, SUITE 1006, HOUSTON, TX 77030
(713) 790-4556
(713) 790-4035
Mailing address
6560 FANNIN ST, SUITE 1006, HOUSTON, TX 77030
(713) 790-4556
(713) 790-4035
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
E6339
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1172979
MEDICAID
LA
05
—
127779007/160278101
—
TX
Enumeration date
08/25/2006
Last updated
08/22/2020
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