Individual
DR. RAFIK MARK GHOBRIAL M.D.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PHD
Contact information
Practice address
6550 FANNIN ST, SUITE 1601, HOUSTON, TX 77030-2717
(713) 441-5141
(713) 790-6470
Mailing address
6550 FANNIN ST, SUITE 1601, HOUSTON, TX 77030-2717
(713) 441-5141
(713) 790-6470
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
A56109
CA
204F00000X
Transplant Surgery Physician
Primary
J0883
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A561090
—
CA
05
—
104048704
—
TX
05
—
104048705
—
TX
01
—
1326072604
BLUE CROSS BLUE SHIELD
TX
01
—
8BC020
BCBS
TX
01
—
P01036931
RR MEDICARE
TX
Enumeration date
07/10/2006
Last updated
01/10/2017
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