Healthcare Provider Details

I. General information

NPI: 1073254371
Provider Name (Legal Business Name): SAMAR AWNI MUSTAFA AL-RIFAIE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/02/2022
Last Update Date: 10/28/2025
Certification Date: 10/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4502 MEDICAL DR
SAN ANTONIO TX
78229-4402
US

IV. Provider business mailing address

7733 LOUIS PASTEUR DR APT 325
SAN ANTONIO TX
78229-3472
US

V. Phone/Fax

Practice location:
  • Phone: 210-358-3555
  • Fax:
Mailing address:
  • Phone: 210-396-6500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberV8921
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberV8921
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: