Chan, Rafael Comacho

Chan, Rafael Comacho is an individual health care provider with primary practice located at 1450 8Th Ave , Fort Worth TX 76104-4110. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Radiation Oncology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Chan, Rafael Comacho can be contacted via phone (817) 923-4423.

Contact Information

Primary practice address
1450 8Th Ave Fort Worth TX 76104-4110
Phone: (817) 923-4423
Fax: (817) 923-3176
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X E2169 Texas
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X E2169 Texas

Profile Details

NPI number 1033151287
LBN Legal business name Chan, Rafael Comacho
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated Apr 25th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033151287 NPPES
Texas MEDICAID 132672010
Texas Other 8S3354
Texas MEDICAID 132672009

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