Individual
RAFAEL ANTONIO FONSECA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
301 UNIVERSITY BLVD, RT 0526, GALVESTON, TX 77555-0526
(409) 772-2815
(409) 772-0744
Mailing address
301 UNIVERSITY BLVD, RT 0526, GALVESTON, TX 77555-0526
(409) 772-2815
(409) 772-0744
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
M7187
TX
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
M7187
TX
Other
Enumeration date
08/31/2006
Last updated
10/18/2024
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