Individual
MRS. GINA RIVAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4150 SILVER SPUR DR, PROSPER, TX 75078-5157
(432) 978-8844
Mailing address
4150 SILVER SPUR DR, PROSPER, TX 75078-5157
(432) 978-8844
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
10/12/2017
Last updated
12/27/2023
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