| Jamal Rafique, M.d., P.a. | |
|
5314 Dashwood Dr Suite 200 Houston TX 77081-4603 | |
| (713) 600-9550 | |
| (713) 600-9567 |
| Full Name | Jamal Rafique, M.d., P.a. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 5314 Dashwood Dr, Houston, Texas |
| Authorized Official Name and Position | Jamal Rafique (OWNER) |
| Authorized Official Contact | 7136009550 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jamal Rafique, M.d., P.a. 9074 Rocky Ridge Dr Conroe TX 77302-5615 Ph: (281) 466-1891 | Jamal Rafique, M.d., P.a. 5314 Dashwood Dr Suite 200 Houston TX 77081-4603 Ph: (713) 600-9550 |
| NPI Number | 1336431493 |
|---|---|
| Provider Enumeration Date | 05/09/2011 |
| Last Update Date | 09/22/2016 |
| Medicare PECOS PAC ID | 9234315581 |
|---|---|
| Medicare Enrollment ID | O20110520000473 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336431493 | NPI | - | NPPES |
| 2860579-01 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | N1087 (Texas) | Primary |
| Provider Name | Jamal Rafique |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891794996 PECOS PAC ID: 0143406496 Enrollment ID: I20110520000501 |
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