Individual
MR. LUCIAN JOSEPH RIVELA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9191 PINECROFT DRIVE, STE 150, THE WOODLANDS, TX 77380
(281) 681-3905
(281) 362-0403
Mailing address
3007 WOODLAND HILLS DRIVE, PMB 73, KINGWOOD, TX 77339
(281) 354-1234
(281) 354-2514
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
K4991
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
162775401
—
TX
Enumeration date
08/24/2005
Last updated
09/16/2019
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