Individual
JASON RIVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
10125 KATY FWY STE 101, HOUSTON, TX 77024-1287
(713) 242-2270
Mailing address
4151 SORENSON DR, PEARLAND, TX 77584-9444
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
1334935
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W255323105
AETNA
—
Enumeration date
02/08/2022
Last updated
02/08/2022
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