Individual
DR. COREY JOHN RIZZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
5037 GULFWAY DR, PORT ARTHUR, TX 77642
(409) 982-7716
(409) 983-7792
Mailing address
5037 GULFWAY DR, PORT ARTHUR, TX 77642
(409) 982-7716
(409) 983-7792
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
8325
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2275372
AETN
TX
01
—
606017
BCBS LICENSE
TX
01
—
8276496
BLUE LINK
TX
01
—
8325
DC LICENSE
TX
Enumeration date
08/29/2006
Last updated
07/08/2007
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