Provider Demographics
NPI:1841421831
Name:RAPHEM HEALTH SERVICES, PLLC
Entity Type:Organization
Organization Name:RAPHEM HEALTH SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:M
Authorized Official - Last Name:MEGWA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:817-548-9092
Mailing Address - Street 1:614 MATLOCK CENTRE CIR
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76015-2536
Mailing Address - Country:US
Mailing Address - Phone:817-548-9092
Mailing Address - Fax:817-548-9094
Practice Address - Street 1:614 MATLOCK CENTRE CIR
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76015-2536
Practice Address - Country:US
Practice Address - Phone:817-548-9092
Practice Address - Fax:817-548-9094
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-07
Last Update Date:2009-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty