Active NPI
Maverick County Rural Radiologists P a
- Diagnostic Radiology Physician
- Eagle Pass, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- MAVERICK COUNTY RURAL RADIOLOGISTS P A
- Practice address
- 3333 N Foster Maldonado Blvd
Eagle Pass, TX 78852-5893 - Phone
- (830) 773-5321
- NPI assigned
- May 3, 2006
- Last updated
- Oct 31, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Abraham Daniel Rafie, MD
- Title
- MD/Owner
- Phone
- (913) 777-1765
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | NU | Primary |
Addresses
Primary practice location
3333 N Foster Maldonado Blvd
Eagle Pass, TX 78852-5893
Mailing address
PO Box 9730
Longview, TX 75608-9730
Phone (903) 663-4800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 081212501 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, KS, MD, AL, NY, MO, CA, GA, FL, AZ
Enrollment records 10
National Provider Directory
National Provider DirectoryLocations
345 S Adams St
Ste 7
Eagle Pass, TX 78852
Phone (830) 757-7560
Practitioners & affiliated clinicians
Practitioners 21
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.
-
- Diagnostic Radiology Physician
- Uvalde, TX
- NPI 1043338338
-
- Diagnostic Radiology Physician
- Eagle Pass, TX
- NPI 1538105580
-
- Family Medicine Physician
- Houston, TX
- NPI 1356474175
-
- Diagnostic Radiology Physician
- Eden Prairie, MN
- NPI 1083959142
AL, TX
-
- Pediatric Radiology Physician
- Phoenix, AZ
- NPI 1285936518
Diagnostic Radiology, TX
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146614400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1698710400000",
"number": "1437117181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9730",
"city": "LONGVIEW",
"state": "TX",
"postal_code": "756089730",
"telephone_number": "903-663-4800",
"fax_number": "903-663-9960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3333 N FOSTER MALDONADO BLVD",
"city": "EAGLE PASS",
"state": "TX",
"postal_code": "788525893",
"telephone_number": "830-773-5321"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAVERICK COUNTY RURAL RADIOLOGISTS P A",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-03",
"last_updated": "2023-10-31",
"certification_date": "2023-10-31",
"status": "A",
"authorized_official_last_name": "RAFIE",
"authorized_official_first_name": "ABRAHAM",
"authorized_official_middle_name": "DANIEL",
"authorized_official_title_or_position": "MD/OWNER",
"authorized_official_telephone_number": "913-777-1765",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "081212501",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Eagle Pass, TX
- Maverick County Association for Persons With Disabilities
- Maverick County Hospital District
- Maverick County Hospital District (MCHD Specialty Group)
- Maverick County Hospital District
- Maverick County Medical Family Center
- Maverick Emergency Medicine Associates PA
- Maverick Medical Supply LLC (Maverick Medical supply)
- Maverick Physician Services PA
- McCrae Management and Investments, LTD. (NewSound Hearing Aid Centers)
- Med Shield Ambulance, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.