Individual
RAIFU F MUSTAPHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1111 W ARKANSAS LN, ARLINGTON, TX 76013-6376
(817) 784-9454
(817) 467-7055
Mailing address
1111 W ARKANSAS LN, ARLINGTON, TX 76013-6376
(817) 784-9454
(817) 467-7055
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
631560
TX
164X00000X
Licensed Vocational Nurse
196491
TX
Other
Enumeration date
06/11/2006
Last updated
01/03/2008
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