| Rapha Medical Clinic | |
|
6901 Mccart Ave Ste 200 Fort Worth TX 76133-6377 | |
| (682) 551-6709 | |
| Not Available |
| Full Name | Rapha Medical Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 6901 Mccart Ave, Fort Worth, Texas |
| Authorized Official Name and Position | Fergus T Akwar (OWNER) |
| Authorized Official Contact | 6825516709 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rapha Medical Clinic 6901 Mccart Ave Ste 200 Fort Worth TX 76133-6377 Ph: (682) 551-6709 | Rapha Medical Clinic 6901 Mccart Ave Ste 200 Fort Worth TX 76133-6377 Ph: (682) 551-6709 |
| NPI Number | 1548367766 |
|---|---|
| Provider Enumeration Date | 09/20/2006 |
| Last Update Date | 11/06/2007 |
| Medicare PECOS PAC ID | 9335141720 |
|---|---|
| Medicare Enrollment ID | O20070214000182 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548367766 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | L7638 (Texas) | Primary |
| Provider Name | Fergus T Akwar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366497471 PECOS PAC ID: 7214999853 Enrollment ID: I20041027000404 |
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