| Organization Name: | RAPHAEL COMMUNITY FREE CLINIC |
| NPI Number: | 1033258710 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARGARET MARY NOVAK (CLINIC DIRECTOR) |
| Mailing Address: | 1807 Water St Kerrville |
| State: | TX US |
| Postal Code: | 780286023 |
| Phone Number: | 8308954201 |
| Fax Number: | 8308953985 |
| NPI Enumeration Date: | 02/06/2007 |
| NPI Last Update Date: | 03/28/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251V00000X |
| License Number: | 527725 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Voluntary or Charitable |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |