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Contact Information

RAFAEL C CHAN, MD
1450 8TH AVE
FORT WORTH, TX76104-4110
 Phone: 817-923-4423
 Fax: 817-923-3176
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
 

Radiation Oncology

2085R0001X 92 Physician/Radiation Oncology
Indicates primary specialty

NPI Profile & details for RAFAEL C CHAN · (Male)

NPI Number 1033151287
Status Active
Credentials MD
Entity Individual
Enumeration date 06/12/2006
Last updated 04/25/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • TX License # E2169
  • TX Medicaid 132672009
  • TX Medicaid 132672010
  • TX Other 8S3354 BLUE CROSS OF TEXAS
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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