Individual
HORACIO CHIONG-RIVERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
1500 S MAIN ST, FORT WORTH, TX 76104-4917
(817) 702-3100
(817) 927-3603
Mailing address
600 S MAIN ST, FORT WORTH, TX 76104-2410
(817) 882-2512
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
264067
MA
2084N0400X
Neurology Physician
A161210
CA
2084N0400X
Neurology Physician
Primary
S4611
TX
Other
Enumeration date
09/03/2013
Last updated
11/30/2021
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