Healthcare Provider Details

I. General information

NPI: 1437839420
Provider Name (Legal Business Name): RFA MEDICAL SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/24/2023
Last Update Date: 07/24/2023
Certification Date: 07/24/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

833 E ARAPAHO RD STE 110
RICHARDSON TX
75081-2245
US

IV. Provider business mailing address

833 E ARAPAHO RD STE 110
RICHARDSON TX
75081-2245
US

V. Phone/Fax

Practice location:
  • Phone: 469-613-4093
  • Fax: 469-613-3596
Mailing address:
  • Phone: 469-613-4093
  • Fax: 469-613-3596

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State

VIII. Authorized Official

Name: RAAD KHALDOUN ALAMAWI
Title or Position: AUTHORIZED OFFICIAL
Credential:
Phone: 469-613-4093