Individual
DR. JANA LISA RIVERA
Active
Individual
DR. JANA LISA RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
M0544
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1735193-01
—
TX
01
—
1735193-02
CSHCN
TX
01
—
8S1840
BLUE SHIELD
TX
01
—
P00234965
RR/MEDICARE
TX
Enumeration date
03/28/2006
Last updated
12/28/2021
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