DR. RAFAEL COMACHO CHAN M.D. NPI 1033151287

NPI Information

NPI: 1033151287
Provider Name: DR. RAFAEL COMACHO CHAN, M.D.
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

Address:
1450 8TH AVE
FORT WORTH, TX
ZIP 76104
Phone: (817) 923-4423
Get Directions

DR. Rafael Comacho Chan, M.D. is a diagnostic radiology radiology in Fort Worth, TX. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Rafael Comacho Chan, M.D. NPI is 1033151287. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1450 8TH AVE
FORT WORTH, TX
ZIP 76104-110
Phone: (817) 923-4423
Fax: (817) 923-3176

The enumeration date for this NPI number is 6/12/2006 and was last updated on 4/25/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0001X	Radiology	Radiation Oncology	E2169	TEXAS	No
2	2085R0202X	Radiology	Diagnostic Radiology	E2169	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	8S3354	OTHER	TEXAS	BLUE CROSS OF TEXAS
2	8G5173	MEDICARE PIN	TEXAS
3	132672009	MEDICAID	TEXAS
4	132672010	MEDICAID	TEXAS
5	8D6196	MEDICARE PIN	TEXAS
6	P00227903	MEDICARE PIN	TEXAS
7	E79941	MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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