Individual
DR. RAFAEL E DEAYALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
902 FROSTWOOD DR, SUITE 108, HOUSTON, TX 77024-2420
(713) 827-4744
(713) 827-4766
Mailing address
902 FROSTWOOD DR, SUITE 108, HOUSTON, TX 77024-2420
(713) 827-4744
(713) 827-4766
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
H1948
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
045619605
—
TX
01
—
H1948
LICENSE NUMBER
TX
Enumeration date
08/22/2005
Last updated
05/18/2022
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