Organization Active NPI

Raphem Medical Practice PA

  • Family Medicine Physician
  • Arlington, TX
National Provider Identifier
1104022706
Registry record updated Jul 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
M0176 Issued in TX
Legal business name
RAPHEM MEDICAL PRACTICE PA
Practice address
614 Matlock Centre Cir
Arlington, TX 76015-2536
Phone
(817) 548-9092
Fax
(817) 548-9094
NPI assigned
Jun 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Joseph M Megwa, M.D
Title
Owner
Phone
(817) 548-9092

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X M0176 TX Primary

Addresses

Primary practice location

614 Matlock Centre Cir
Arlington, TX 76015-2536

Mailing address

614 Matlock Centre Cir
Arlington, TX 76015-2536
Phone (817) 548-9092

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277942400000",
    "number": "1104022706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 MATLOCK CENTRE CIR",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760152536",
            "telephone_number": "817-548-9092",
            "fax_number": "817-548-9094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 MATLOCK CENTRE CIR",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760152536",
            "telephone_number": "817-548-9092",
            "fax_number": "817-548-9094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAPHEM MEDICAL PRACTICE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-21",
        "last_updated": "2010-07-01",
        "status": "A",
        "authorized_official_last_name": "MEGWA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-548-9092",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "M0176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.