Individual
DR. THOMAS B RIVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
16811 SOUTHWEST FWY, SUGAR LAND, TX 77479
(281) 690-4678
Mailing address
16811 SOUTHWEST FWY, SUGAR LAND, TX 77479-4728
(281) 690-4678
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
K2782
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
127640406
—
TX
01
—
190714
AMERIGROUP NUMBER
TX
01
—
3285310
AETNA HMO NUMBER
TX
01
—
7050494
AETNA PPO NUMBER
TX
01
—
8G9742
BC/BS PROVIDER NUMBER
TX
01
—
K2782
STATE LICENSE NUMBER
TX
01
—
P01034616
RAILROAD MEDICARE
TX
Enumeration date
06/22/2005
Last updated
09/20/2018
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