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Individual

DR. MICHELLE RIVERA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
PEDIATRIC ENDOCRINOLOGY, 6410 FANNIN, SUITE 500, HOUSTON, TX 77030
(832) 325-7693
(713) 512-2225
Mailing address
PEDIATRIC ENDOCRINOLOGY, 6431 FANNIN, MSB 3.122, HOUSTON, TX 77030
(713) 500-5646
(713) 500-0526

Taxonomy

Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
N1860
TX
2080P0205X
Pediatric Endocrinology Physician
Primary
N1860
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
203413401
TX
Enumeration date
03/20/2009
Last updated
09/22/2009
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