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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689632945 | NPPES |
| Texas | MEDICAID | 031059101 | |
| Texas | Other | 5073416 | |
| Texas | Other | 8A8950 |
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