Rafael Vidal Mora, M.D. Valid NPI
Individual provider · Urology Physician · Fort Sam Houston, TX
- NPI
- 1760444707
- Type
- Individual (Type 1)
- Primary specialty
- Urology Physician (Urology)
- Specialty group
- Allopathic & Osteopathic Physicians
- Taxonomy code
- 208800000X
- License number
- 31599 (FL)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2006-04-05
- Last updated
- 2007-07-08
Practice location
3851 Roger Brooke Dr, Bamc - Mche - Qd ( Creds )
Fort Sam Houston, TX 78234-4501
(210) 916-1163