Individual
RAFAEL RIVERA-RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1208 BROOK AVE, WICHITA FALLS, TX 76301-5602
(940) 322-4480
(940) 322-8420
Mailing address
1208 BROOK AVE, WICHITA FALLS, TX 76301-5602
(940) 322-4480
(940) 322-8420
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
J3890
TX
207RP1001X
Pulmonary Disease Physician
J3890
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
096321701
—
TX
Enumeration date
03/27/2006
Last updated
03/06/2014
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