Individual
DOUGLAS JASON RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2000 SCENIC DR STE G002, GEORGETOWN, TX 78626-7726
(512) 531-5200
(512) 865-4068
Mailing address
2000 SCENIC DR STE G002, GEORGETOWN, TX 78626-7726
(512) 531-5200
(512) 865-4068
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
M2048
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
173387101
—
TX
Enumeration date
01/23/2006
Last updated
03/02/2023
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