Healthcare Provider Details

I. General information

NPI: 1003257999
Provider Name (Legal Business Name): MOHAMED ADEL ABDEL RAFA ELRIFAI
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/09/2013
Last Update Date: 03/03/2026
Certification Date: 03/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24518 NORTHWEST FWY STE 325
CYPRESS TX
77429-2904
US

IV. Provider business mailing address

24518 NORTHWEST FWY STE 325
CYPRESS TX
77429-2904
US

V. Phone/Fax

Practice location:
  • Phone: 281-955-9158
  • Fax: 281-955-8720
Mailing address:
  • Phone: 281-955-9158
  • Fax: 281-955-8720

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberV3590
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number35.127080
License Number StateOH
# 4
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberV3590
License Number StateTX
# 5
Primary TaxonomyY
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License NumberV3590
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: