Individual
DR. AMANI RAFIK GOBRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1140 WESTMONT DR, STE 445, HOUSTON, TX 77015
(713) 455-7555
(713) 455-7771
Mailing address
1140 WESTMONT DR, STE 445, HOUSTON, TX 77015-4368
(713) 455-7555
(713) 455-7771
Taxonomy
Speciality
Code
Description
License number
State
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Primary
H6247
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
040006005
RAIL ROAD MEDICARE
TX
01
—
10019892
AMERIGROUP
TX
05
—
103959601
—
TX
01
—
389996
WELLCARE
TX
01
—
83T881
BCBS
TX
Enumeration date
03/13/2007
Last updated
06/27/2018
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