Individual
WILLIAM RESTO-RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
J STREET BLDG 3000, FEDERAL MEDICAL CENTER CARSWELL, FORT WORTH, TX 76127-0066
(817) 782-4606
(817) 782-4627
Mailing address
PO BOX 27066, FEDERAL MEDICAL CENTER CARSWELL, FORT WORTH, TX 76127-0066
(817) 782-4606
(817) 782-4627
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
4301084915
MI
171000000X
Military Health Care Provider
9502
PR
Other
Enumeration date
02/22/2011
Last updated
02/22/2011
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