Organization
RABIN GERAH MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RABIN GERRAH MD (MEMBER)
(617) 671-8448
Entity
Organization
Contact information
Practice address
757 8TH AVE, FORT WORTH, TX 76104-2522
(617) 671-8448
Mailing address
757 8TH AVE, FORT WORTH, TX 76104-2522
(617) 671-8448
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
R1029
TX
261QM2500X
Medical Specialty Clinic/Center
R1029
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03179908
—
NY
Enumeration date
03/29/2017
Last updated
03/29/2017
Update your record
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