Individual
JAVIER RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
364 THOROUGHBRED LN, GRAND PRAIRIE, TX 75050-6676
(469) 640-0609
Mailing address
364 THOROUGHBRED LN, GRAND PRAIRIE, TX 75050-6676
(469) 640-0609
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
36950507
TX
Other
Enumeration date
02/13/2019
Last updated
02/13/2019
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