RAPHA FAMILY CLINIC INC
Marriage and Family Therapists at Forest Ln, Dallas, TX

License number
Texas AP124298
Category
Osteopathic Medicine
Type
Family Medicine
Owner
Name: MARTINA DIKE AP
Title: OWNER
Phone: (469) 826-9812
Address
Address
9778 Forest Ln, Dallas, TX 75243
National Provider ID: 1467847152
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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RAPHA FAMILY CLINIC, INC

9778 Frst Ln, Dallas, TX 75243

Registration:
Feb 9, 2015
State ID:
0802152614
Agent:
Martina Dike,9778 Frst Ln, Dallas, TX 75243 (Physical)
TIN:
32056373536

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