Individual
DR. RAFAEL VIDAL MORA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3851 ROGER BROOKE DR, BAMC - MCHE - QD ( CREDS ), FORT SAM HOUSTON, TX 78234-4501
(210) 916-1163
Mailing address
6 FONTHILL WAY, SAN ANTONIO, TX 78218-6030
(210) 822-2404
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
31599
FL
Other
Enumeration date
04/05/2006
Last updated
07/08/2007
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