Organization
MAVERICK COUNTY RURAL RADIOLOGISTS P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABRAHAM DANIEL RAFIE MD (MD/OWNER)
(913) 777-1765
Entity
Organization
Contact information
Practice address
3333 N FOSTER MALDONADO BLVD, EAGLE PASS, TX 78852-5893
(830) 773-5321
Mailing address
PO BOX 9730, LONGVIEW, TX 75608-9730
(903) 663-4800
(903) 663-9960
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
081212501
—
TX
Enumeration date
05/03/2006
Last updated
10/31/2023
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