Refaeian, Manouchehr

Refaeian, Manouchehr is an individual health care provider with primary practice located at 10412 Vista Del Sol Dr Suite 1-B, El Paso TX 79925-7946. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Refaeian, Manouchehr can be contacted via phone (915) 593-9300.

Contact Information

Primary practice address
10412 Vista Del Sol Dr Suite 1-B El Paso TX 79925-7946
Phone: (915) 593-9300
Fax: (915) 593-9310
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X J6684 Texas

Profile Details

NPI number 1689632945
LBN Legal business name Refaeian, Manouchehr
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2006
Last updated Jul 8th, 2007 - 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 1689632945 NPPES
Texas MEDICAID 031059101
Texas Other 5073416
Texas Other 8A8950

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