NPIMap

Organization Active NPI

Rufe Snow Clinic, Inc.

  • Primary Care Clinic/Center
  • Watauga, TX
National Provider Identifier
1629469630
Registry record updated Feb 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
K3989 Issued in TX
Legal business name
RUFE SNOW CLINIC, INC.
Practice address
6651 Watauga Rd
#104
Watauga, TX 76148-3360
Phone
(817) 498-6944
Fax
(817) 581-3920
NPI assigned
Feb 12, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2015

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

Authorized official

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

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)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X K3989 TX Primary

Addresses

Primary practice location

6651 Watauga Rd
#104
Watauga, TX 76148-3360

Mailing address

6651 Watauga Rd
#104
Watauga, TX 76148-3360
Phone (817) 498-6944

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1423699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423699200000",
    "number": "1629469630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6651 WATAUGA RD",
            "address_2": "#104",
            "city": "WATAUGA",
            "state": "TX",
            "postal_code": "761483360",
            "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": "761483360",
            "telephone_number": "817-498-6944",
            "fax_number": "817-581-3920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUFE SNOW CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-12",
        "last_updated": "2015-02-12",
        "status": "A",
        "authorized_official_last_name": "BESTAWROUS",
        "authorized_official_first_name": "REDA",
        "authorized_official_middle_name": "SABER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-498-6944",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TX",
            "license": "K3989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Feb 12, 2015; 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.