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Organization

J RIVERA ROSALES MD INTERNAL MEDICINE PROFESSIONAL ASSOCIATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JULIO R RIVERA ROSALES MD (OWNER/PRESIDENT)
(281) 305-0725
Entity
Organization

Contact information

Practice address
1111 MEDICAL PLAZA DR, SUITE 190, THE WOODLANDS, TX 77380-3476
(281) 305-0725
(281) 465-9992
Mailing address
PO BOX 132184, THE WOODLANDS, TX 77393-2184
(281) 305-0725
(281) 465-9992

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
288184901
TX
Enumeration date
08/13/2011
Last updated
03/27/2012
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