| J Rivera Rosales Md Internal Medicine Professional Association | |
|
1111 Medical Plaza Dr Suite 190 The Woodlands TX 77380-3476 | |
| (281) 305-0725 | |
| (281) 465-9992 |
| Full Name | J Rivera Rosales Md Internal Medicine Professional Association |
|---|---|
| Speciality | Internal Medicine |
| Location | 1111 Medical Plaza Dr, The Woodlands, Texas |
| Authorized Official Name and Position | Julio R Rivera Rosales (OWNER/PRESIDENT) |
| Authorized Official Contact | 2813050725 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| J Rivera Rosales Md Internal Medicine Professional Association Po Box 132184 The Woodlands TX 77393-2184 Ph: (281) 305-0725 | J Rivera Rosales Md Internal Medicine Professional Association 1111 Medical Plaza Dr Suite 190 The Woodlands TX 77380-3476 Ph: (281) 305-0725 |
| NPI Number | 1104105725 |
|---|---|
| Provider Enumeration Date | 08/13/2011 |
| Last Update Date | 03/27/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104105725 | NPI | - | NPPES |
| 288184901 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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