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NPI Code Detail

MEDICARE: RAPHAEL RICHARD AYBAR M.D.

MEDICARE: RAPHAEL RICHARD AYBAR M.D.
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
1207L00000XAnesthesiology PhysicianJ6862TX

General Provider Information

NPI Number : 1619970902
Entity Type Code : Individual
Provider Name (Legal Business Name) : RAPHAEL RICHARD AYBAR M.D.
Provider Business Mailing Address
First Line : 3300 OAK LAWN AVENUE
Second Line : SUITE 200
City : DALLAS
State : TX
Zip : 75219-4265
Country : US
Telephone Number : 214-252-3501
Fax Number :
Provider Business Practice Location Address
First Line : 3300 OAK LAWN AVE
Second Line : SUITE 200
City : DALLAS
State : TX
Zip : 75219-4236
Country : US
Telephone Number : 214-252-3501
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/31/2005
Last Update Date : 06/08/2009

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