Individual
KEVIN G RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CCHT
Contact information
Practice address
925 W EXCHANGE PKWY, ALLEN, TX 75013-7016
(800) 881-5101
Mailing address
1300 N CUSTER RD APT 3114, ALLEN, TX 75013-3482
(469) 816-1976
Taxonomy
Speciality
Code
Description
License number
State
2472R0900X
Renal Dialysis Technician
Primary
1143240813
TX
Other
Enumeration date
10/11/2023
Last updated
10/11/2023
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