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Individual

DR. RAAFAE MOHAMMAD HUSSAIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Contact information

Practice address
3319 UNICORN LAKE BLVD, DENTON, TX 76210-0121
(940) 300-3054
(940) 243-7780
Mailing address
3319 UNICORN LAKE BLVD, DENTON, TX 76210-0120
(940) 300-3054

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
2331
TX
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
2331
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2331
STATE LICENSE
TX
05
3857864-02
TX
01
8JR949
BCBS
Enumeration date
07/28/2014
Last updated
07/15/2024
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