Individual
MR. FRANCISCO M. RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP,ACNP
Contact information
Practice address
619 S FLEISHEL AVE, TYLER, TX 75701-2004
(903) 595-5514
Mailing address
619 S FLEISHEL AVE, TYLER, TX 75701-2004
(903) 595-5514
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
658568
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
191707201
—
TX
01
—
8Y1349
BCBS OF TEXAS
TX
01
—
P00610118
RAILROAD MEDICARE
—
Enumeration date
10/10/2006
Last updated
07/10/2009
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