Individual
DR. JOSE ROLANDO RIVAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2696 W WALNUT ST, GARLAND, TX 75042
(972) 487-3000
Mailing address
5146 MILLER AVE, DALLAS, TX 75206-6419
(214) 515-5584
(214) 515-9921
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
H4846
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
48643200
DEPT. OF LABOR
TX
01
—
8X5664
BLUE CROSS/BLUE SHIELD
TX
Enumeration date
11/28/2005
Last updated
04/16/2010
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