Individual
RAFAEL AMARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1411 MEDICAL PKWY STE 200, CEDAR PARK, TX 78613-2778
(512) 341-0900
(512) 341-2895
Mailing address
PO BOX 35629, DALLAS, TX 75235-0629
(214) 424-2200
(214) 231-2159
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
L1262
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
083176001
—
TX
05
—
148191302
—
TX
01
—
1942331335
GROUP NPI
TX
01
—
7606217
AETNA US HEALTHCARE
TX
01
—
8F6931
BCBS OF TEXAS
TX
01
—
P00147528
MEDICARE RAILROAD
TX
Enumeration date
08/17/2006
Last updated
10/31/2022
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