Individual
HOMERO RIVAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5323 HARRY HINES BLVD, DALLAS, TX 75390-7208
(214) 645-2900
Mailing address
300 PASTEUR DR, H3680, STANFORD, CA 94305-2200
(650) 721-2757
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
C53953
CA
208600000X
Surgery Physician
Primary
M1321
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
174339501
—
TX
Enumeration date
05/04/2006
Last updated
01/28/2016
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