| Tara R. Rios, D.d.s., Pllc | |
|
1205 E Alton Gloor Blvd Brownsville TX 78526-3831 | |
| (956) 542-1367 | |
| Not Available |
| Full Name | Tara R. Rios, D.d.s., Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1205 E Alton Gloor Blvd, Brownsville, Texas |
| Authorized Official Name and Position | Tara R Rios (DENTIST/OWNER) |
| Authorized Official Contact | 9565421956 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tara R. Rios, D.d.s., Pllc 1205 E Alton Gloor Blvd Brownsville TX 78526-3831 Ph: (956) 542-1956 | Tara R. Rios, D.d.s., Pllc 1205 E Alton Gloor Blvd Brownsville TX 78526-3831 Ph: (956) 542-1367 |
| NPI Number | 1447418520 |
|---|---|
| Provider Enumeration Date | 05/27/2008 |
| Last Update Date | 11/02/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447418520 | NPI | - | NPPES |
| 192990401 | Medicaid | TX | |
| 347586501 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | B19175 (Texas) | Secondary |
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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