Provider Demographics
NPI:1376629873
Name:RAFANAN, MARILYN ABEJERO (MD)
Entity Type:Individual
Prefix:DR
First Name:MARILYN
Middle Name:ABEJERO
Last Name:RAFANAN
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:16111 CAIRNWAY DR STE 170
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77084-3570
Mailing Address - Country:US
Mailing Address - Phone:832-593-8500
Mailing Address - Fax:832-593-8508
Practice Address - Street 1:16111 CAIRNWAY DR STE 170
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77084-3570
Practice Address - Country:US
Practice Address - Phone:832-593-8500
Practice Address - Fax:832-593-8508
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-27
Last Update Date:2008-06-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXJ9287207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXG20874Medicare UPIN