Individual
MIA RAIFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5323 HARRY HINES BLVD, DALLAS, TX 75390-7201
(214) 648-3111
Mailing address
1323 E VILLA VISTA AVE APT 541, MILLCREEK, UT 84106-4830
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1232648
TX
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/20/2026
Last updated
05/11/2026
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