Irr Medical P.a.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

N2750 Issued in TX

Legal business name

IRR MEDICAL P.A.

Practice address

621 Tumbleweed Dr
Forney, TX 75126-4755

Phone

(870) 543-9103

Fax

(972) 552-9949

NPI assigned

Jan 19, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Irfan Rafiq Rana, M.D.

Title

President

Phone

(870) 543-9103

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1263859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634688000000",
    "number": "1538490396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 TUMBLEWEED DR",
            "city": "FORNEY",
            "state": "TX",
            "postal_code": "751264755",
            "telephone_number": "870-543-9103",
            "fax_number": "972-552-9949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 TUMBLEWEED DR",
            "city": "FORNEY",
            "state": "TX",
            "postal_code": "751264755",
            "telephone_number": "870-543-9103",
            "fax_number": "972-552-9949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRR MEDICAL P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-19",
        "last_updated": "2021-10-20",
        "certification_date": "2021-10-20",
        "status": "A",
        "authorized_official_last_name": "RANA",
        "authorized_official_first_name": "IRFAN",
        "authorized_official_middle_name": "RAFIQ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "870-543-9103",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "N2750",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1881815017",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2021354",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2021; 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.