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NPI Code Detail

MEDICARE: REFUAH HEALTHCARE TEXAS INC

MEDICARE: REFUAH HEALTHCARE TEXAS INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208D00000XGeneral Practice Physician

General Provider Information

NPI Number : 1174372569
Entity Type Code : Organization
Provider Name (Legal Business Name) : REFUAH HEALTHCARE TEXAS INC
Provider Business Mailing Address
First Line : 15910 VENTURA BLVD STE 1701
Second Line :
City : ENCINO
State : CA
Zip : 91436-2816
Country : US
Telephone Number : 310-616-5188
Fax Number : 310-616-5188
Provider Business Practice Location Address
First Line : 5850 SAN FELIPE ST STE 500
Second Line :
City : HOUSTON
State : TX
Zip : 77057-8003
Country : US
Telephone Number : 310-933-5688
Fax Number : 310-616-5188
Authorized Official
Title or Position : MANAGING DIRECTOR
Name : MICHAEL FARAH
Credential :
Telephone Number : 310-879-7167
Provider Enumeration Date : 05/16/2024
Last Update Date : 05/12/2026

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Directions to “REFUAH HEALTHCARE TEXAS INC ” Practice Location

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