Individual
ANTONIO H. RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
308 S CESAR CHAVEZ AVE, CRYSTAL CITY, TX 78839-4200
(830) 374-2301
(830) 374-9368
Mailing address
308 S CESAR CHAVEZ AVE, CRYSTAL CITY, TX 78839-4200
(830) 374-2301
(830) 374-9368
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
G0014
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
857710
BC/BS
TX
Enumeration date
08/30/2006
Last updated
05/08/2015
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