Individual
MARISA RIVERA LANUZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5420 BELLAIRE BLVD STE A, BELLAIRE, TX 77401-3957
(713) 663-6322
(713) 663-6944
Mailing address
5420 BELLAIRE BLVD STE A, BELLAIRE, TX 77401-3957
(713) 663-6322
(713) 663-6944
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
G5954
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
G5954
—
TX
Enumeration date
07/16/2006
Last updated
12/22/2021
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