Individual
GERALDINE RAPHAEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
900B CLUBSIDE DR, EAST BERNARD, TX 77435-8758
(281) 903-7380
(346) 241-8040
Mailing address
900B CLUBSIDE DR, EAST BERNARD, TX 77435-8758
(832) 744-8016
(346) 241-0840
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
020016
TX
163W00000X
Registered Nurse
RN1028365
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10293906
DRIVER LICENSE
TX
Enumeration date
04/08/2013
Last updated
10/26/2021
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