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Individual

JAMAL RAFIQUE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2743 IMPERIA DR STE 202, SUGAR LAND, TX 77479-8988
(346) 368-2498
(348) 368-2499
Mailing address
2743 IMPERIA DR STE 202, SUGAR LAND, TX 77479-8988
(346) 368-2498
(348) 368-2499

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
036-105278
IL
2084P0800X
Psychiatry Physician
Primary
N1087
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2860587-01
TX
01
N1087
LICENSE
TX
Enumeration date
07/20/2005
Last updated
12/12/2022
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