# RIVERA MHT LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275912958
- **Authorized official:** DIEGO RIVERA MD (OWNER / PRESIDENT)
- **Authorized official phone:** (806) 723-8881

## Contact information

- **Practice address:** 1515 HERITAGE DR, MCKINNEY, TX 75069-3256
- **Practice address phone:** (972) 616-4932
- **Practice address fax:** (877) 489-3949
- **Mailing address:** 1515 HERITAGE DR, MCKINNEY, TX 75069-3256
- **Mailing address phone:** (972) 616-4932
- **Mailing address fax:** (877) 489-3949

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | G1757 | TX | Yes |

## Other

- **Enumeration date:** 05/27/2015
- **Last updated:** 05/27/2015
