Individual
MIKEL RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
314 N WALNUT ST STE C, SHERMAN, TX 75090-0047
(903) 771-0006
Mailing address
1014 N ROSS AVE, SHERMAN, TX 75090-4226
(903) 819-8517
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
11/16/2019
Last updated
11/16/2019
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