Individual
DR. MANOUCHEHR REFAEIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10412 VISTA DEL SOL DR STE 1B, EL PASO, TX 79925-7937
(915) 233-4026
(915) 233-4026
Mailing address
10412 VISTA DEL SOL DR STE 1B, EL PASO, TX 79925-7937
(915) 233-4026
(915) 233-4026
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
J6684
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
031059101
—
TX
01
—
5073416
AETNA
—
01
—
8A8950
BLUE CROSS BLUE SHIELD
TX
Enumeration date
05/03/2006
Last updated
11/13/2025
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