Individual
IRFANALI RAJABALI KUGASIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2800 E BROAD ST STE 204, MANSFIELD, TX 76063-6411
(682) 900-4174
(682) 900-4174
Mailing address
2800 E BROAD ST STE 204, MANSFIELD, TX 76063-6411
(682) 900-4174
(682) 900-4175
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
R3895
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3822763-01
—
TX
Enumeration date
01/23/2013
Last updated
07/22/2025
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