Organization Active NPI

Raheela Hafeez,M.D., P.a.

  • Pediatrics Physician
  • Fort Worth, TX
National Provider Identifier
1902017494
Registry record updated Mar 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
K8192 Issued in TX
Legal business name
RAHEELA HAFEEZ,M.D., P.A.
Practice address
855 Montgomery Street
Fort Worth, TX 76107-2553
Phone
(817) 735-2363
Fax
(817) 735-2653
NPI assigned
May 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2008

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

Authorized official

Name
Dr. Raheela Hafeez, M.D.
Title
Director
Phone
(817) 656-1559

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X K8192 TX Primary

Addresses

Primary practice location

855 Montgomery Street
Fort Worth, TX 76107-2553

Mailing address

5564 Lawnsberry Dr
Fort Worth, TX 76137-4391

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204761600000",
    "number": "1902017494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5564 LAWNSBERRY DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761374391",
            "fax_number": "817-656-1738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 MONTGOMERY STREET",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761072553",
            "telephone_number": "817-735-2363",
            "fax_number": "817-735-2653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAHEELA HAFEEZ,M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-25",
        "last_updated": "2008-03-06",
        "status": "A",
        "authorized_official_last_name": "HAFEEZ",
        "authorized_official_first_name": "RAHEELA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "817-656-1559",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "K8192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.