| Medical Center Riviera Pllc | |
|
3235 Hillcroft St Houston TX 77057-5805 | |
| (713) 637-4372 | |
| (832) 530-4287 |
| Full Name | Medical Center Riviera Pllc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 3235 Hillcroft St, Houston, Texas |
| Authorized Official Name and Position | Sheree Lyons (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 8326834132 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical Center Riviera Pllc 3235 Hillcroft St Houston TX 77057-5805 Ph: (713) 637-4372 | Medical Center Riviera Pllc 3235 Hillcroft St Houston TX 77057-5805 Ph: (713) 637-4372 |
| NPI Number | 1306421441 |
|---|---|
| Provider Enumeration Date | 03/10/2021 |
| Last Update Date | 06/27/2024 |
| Medicare PECOS PAC ID | 9830597020 |
|---|---|
| Medicare Enrollment ID | O20211001000463 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306421441 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Primary |
| Provider Name | Paul E Kobza |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1114932845 PECOS PAC ID: 1850289471 Enrollment ID: I20120112000206 |
| Provider Name | Zuniley Aballe-hernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952054066 PECOS PAC ID: 4486037918 Enrollment ID: I20220817000379 |
| Provider Name | Jesus A Palma Fuoman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780463323 PECOS PAC ID: 2769925643 Enrollment ID: I20240620000493 |
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