Individual
ANTONIO F RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4500 MEDICAL CENTER DR, MCKINNEY, TX 75069-1650
(972) 547-4700
Mailing address
12221 MERIT DR, SUITE 1610, DALLAS, TX 75251-2202
(214) 217-1911
(214) 217-1912
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
20050000794
MO
207P00000X
Emergency Medicine Physician
Primary
M4475
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
184386401
—
TX
05
—
184386402
—
TX
01
—
8V2875
BCBS
TX
01
—
P00378664
RAILROAD
TX
Enumeration date
05/30/2006
Last updated
02/02/2011
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