Individual
DR. STEVEN THOMAS RIVERA JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1100 WILFORD HALL LOOP, JBSA LACKLAND, TX 78236-5638
(760) 766-6150
Mailing address
1100 WILFORD HALL LOOP, JBSA LACKLAND, TX 78236-5638
(760) 766-6150
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
—
—
208D00000X
General Practice Physician
Primary
U7264
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/27/2021
Last updated
11/30/2023
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