Individual
RAFAELA IZURIETA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
(210) 292-7868
Mailing address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101271851
VA
207RG0100X
Gastroenterology Physician
Primary
0101271851
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0101271851
—
VA
Enumeration date
03/06/2019
Last updated
09/26/2025
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