Healthcare Provider Details

I. General information

NPI: 1982609111
Provider Name (Legal Business Name): RAFAEL CAMHI ESQUENAZI MD FACP FASN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/15/2005
Last Update Date: 01/08/2021
Certification Date: 01/08/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1140 WESTMONT DR STE. 340
HOUSTON TX
77015-4363
US

IV. Provider business mailing address

1140 WESTMONT DR STE. 320
HOUSTON TX
77015-4363
US

V. Phone/Fax

Practice location:
  • Phone: 713-637-6320
  • Fax: 713-637-0735
Mailing address:
  • Phone: 713-637-6320
  • Fax: 713-637-0735

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License NumberE7908
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: