Individual
DORISSA R RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2000 S MAYS ST STE 201, ROUND ROCK, TX 78664-7580
(512) 244-4272
(512) 244-2895
Mailing address
101 W LOUIS HENNA BLVD STE 300, AUSTIN, TX 78728-1203
(512) 492-3743
(512) 593-4444
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0821095
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
AP136398
TX
Other
Enumeration date
08/30/2017
Last updated
09/21/2022
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