Individual
PROF. ANDREW RIVERS OBRIEN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PA-C, MPH
Contact information
Practice address
3851 ROGER BROOKE DR, MCHE-QD (CREDS), FORT SAM HOUSTON, TX 78234-4501
(210) 916-2460
Mailing address
601 SABINE CIR, TEMPLE, TX 76504-4929
(254) 931-6492
(210) 221-0121
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA 02387
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA 02387
PHYSICIAN ASSISTANT LISC.
TX
Enumeration date
11/02/2005
Last updated
07/08/2007
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