Provider Demographics
NPI:1932741477
Name:RAPHAEL HEALTH SERVICES
Entity Type:Organization
Organization Name:RAPHAEL HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MELANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHAAB
Authorized Official - Suffix:
Authorized Official - Credentials:FNP/APRN
Authorized Official - Phone:903-336-4758
Mailing Address - Street 1:2508 AVALON CREEK WAY
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75071-2709
Mailing Address - Country:US
Mailing Address - Phone:469-636-0017
Mailing Address - Fax:
Practice Address - Street 1:3420 ELDORADO PKWY STE 4
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75070-4321
Practice Address - Country:US
Practice Address - Phone:469-636-0017
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-16
Last Update Date:2019-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty