| Rivera Mht Llc | |
|
1515 Heritage Dr Mckinney TX 75069-3256 | |
| (972) 616-4932 | |
| (877) 489-3949 |
| Full Name | Rivera Mht Llc |
|---|---|
| Speciality | General Practice |
| Location | 1515 Heritage Dr, Mckinney, Texas |
| Authorized Official Name and Position | Diego Rivera (OWNER / PRESIDENT) |
| Authorized Official Contact | 8067238881 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rivera Mht Llc 1515 Heritage Dr Mckinney TX 75069-3256 Ph: (972) 616-4932 | Rivera Mht Llc 1515 Heritage Dr Mckinney TX 75069-3256 Ph: (972) 616-4932 |
| NPI Number | 1275912958 |
|---|---|
| Provider Enumeration Date | 05/27/2015 |
| Last Update Date | 05/27/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275912958 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | G1757 (Texas) | Primary |
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