NPIMap

Organization Active NPI

Rufe Snow Clinic Inc

Doing business as Rufe Snow Clinic

  • Family Medicine Physician
  • Watauga, TX
National Provider Identifier
1255509097
Registry record updated Dec 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
K3989 Issued in TX
Legal business name
RUFE SNOW CLINIC INC
Doing business as
Rufe Snow Clinic
Practice address
6651 Watauga Rd
104
Watauga, TX 76148
Phone
(817) 498-6944
Fax
(817) 581-3920
NPI assigned
Feb 14, 2008
Last updated
Dec 24, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2008

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

Authorized official

Name
Dr. Reda S Bestawrous, MDNPI 1811995723
Title
Physician Owner
Phone
(817) 498-6944

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X K3989 TX Primary

Addresses

Primary practice location

6651 Watauga Rd
104
Watauga, TX 76148

Mailing address

6651 Watauga Rd
Suite 104
Watauga, TX 76148
Phone (817) 498-6944

Other identifiers 1

IdentifierTypeStateIssuer
89540XOtherTXBCBS

Other names 1

  • Rufe Snow Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

6651 Watauga Rd
Ste 104
Watauga, TX 76148
Phone (817) 498-6944

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1202947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230076800000",
    "number": "1255509097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6651 WATAUGA RD",
            "address_2": "SUITE 104",
            "city": "WATAUGA",
            "state": "TX",
            "postal_code": "76148",
            "telephone_number": "817-498-6944",
            "fax_number": "817-581-3920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6651 WATAUGA RD",
            "address_2": "104",
            "city": "WATAUGA",
            "state": "TX",
            "postal_code": "76148",
            "telephone_number": "817-498-6944",
            "fax_number": "817-581-3920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUFE SNOW CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-14",
        "last_updated": "2008-12-24",
        "status": "A",
        "authorized_official_last_name": "BESTAWROUS",
        "authorized_official_first_name": "REDA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "817-498-6944",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K3989",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "89540X",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rufe Snow Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Watauga, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2008; 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.