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Individual

DR. RAGENE RUTH RIVERA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1901 GRANDVIEW AVE, EL PASO, TX 79902-5113
(915) 544-6750
(915) 532-4259
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
(972) 437-9605

Taxonomy

Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
E7342
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000E1885
NM
05
134354301
TX
05
134354302
TX
05
134354303
TX
05
37885324
TX
01
8R1537
BLUE CROSS OF TEXAS
TX
Enumeration date
06/01/2006
Last updated
03/12/2018
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