Individual
DR. MARK S RIABOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2339 GUS THOMASSON RD, DALLAS, TX 75228-3004
(214) 327-2490
(214) 324-4963
Mailing address
2339 GUS THOMASSON RD, DALLAS, TX 75228-3004
(214) 327-2490
(214) 324-4963
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2580TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00E68E
TEXAS BCBS
TX
05
—
112418202
—
TX
01
—
410006270
RAILROAD MEDICARE
TX
Enumeration date
10/20/2005
Last updated
04/10/2009
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