| Rivera Mht Llc | |
|
111 N University Ave Lubbock TX 79415-2844 | |
| (806) 747-4415 | |
| Not Available |
| Full Name | Rivera Mht Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 111 N University Ave, Lubbock, Texas |
| Authorized Official Name and Position | Diego Rivera (OWNER / PRESIDENT) |
| Authorized Official Contact | 8067474415 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rivera Mht Llc 1515 Heritage Dr Ste 110 Mckinney TX 75069-3379 Ph: () - | Rivera Mht Llc 111 N University Ave Lubbock TX 79415-2844 Ph: (806) 747-4415 |
| NPI Number | 1972991990 |
|---|---|
| Provider Enumeration Date | 12/29/2014 |
| Last Update Date | 01/06/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972991990 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | G1757 (Texas) | Primary |
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