Individual
CANDICE RENEE RIOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, AREOLA ARTIST
Contact information
Practice address
6201 SUNSET DR STE 650, FORT WORTH, TX 76116-5521
(817) 751-8177
Mailing address
1500 PARK CREST DR, CROWLEY, TX 76036-3464
(817) 751-8177
Taxonomy
Speciality
Code
Description
License number
State
246ZA2600X
Medical Art Specialist/Technologist
Primary
3DAREOLA
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
82-1067523
TEXAS DEPARTMENT OF HEALTH
TX
Enumeration date
05/29/2017
Last updated
05/29/2017
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