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Individual
DR. LUIS MANUEL RIOS JR.
Active
Individual
DR. LUIS MANUEL RIOS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
J0221
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0059GS
BLUE CROSS/BLUE SHIELD GROUP
TX
05
—
031479101
—
TX
05
—
152179101
—
TX
01
—
742883624
WORKERS COMP #
TX
01
—
742883624
FEDERAL TAX ID#
—
01
—
8B6021
BLUE CROSS PROVIDER #
TX
Enumeration date
08/19/2005
Last updated
11/09/2011
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