Provider Demographics
NPI:1497996904
Name:HOWELL, ANTONIO RAFAEL (MD)
Entity Type:Individual
Prefix:DR
First Name:ANTONIO
Middle Name:RAFAEL
Last Name:HOWELL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:BUILDING 36038, WRATTEN DR.
Mailing Address - Street 2:CRDAMC HEALTH CARE SYSTEM
Mailing Address - City:FORT HOOD
Mailing Address - State:TX
Mailing Address - Zip Code:76544-4901
Mailing Address - Country:US
Mailing Address - Phone:254-286-7159
Mailing Address - Fax:
Practice Address - Street 1:BUILDING 36038, WRATTEN DR.
Practice Address - Street 2:CRDAMC HEALTH CARE SYSTEM
Practice Address - City:FORT HOOD
Practice Address - State:TX
Practice Address - Zip Code:76544-4901
Practice Address - Country:US
Practice Address - Phone:254-286-7159
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-12
Last Update Date:2012-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 101911208600000X
NY247081208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery