Individual
ROBERTO RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MDT
Contact information
Practice address
7808 CLODUS FIELDS DR, DALLAS, TX 75251-2206
(972) 770-1032
(469) 484-2126
Mailing address
7808 CLODUS FIELDS DR, DALLAS, TX 75251-2206
(972) 770-1032
(469) 484-2126
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
S0074
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/28/2017
Last updated
06/14/2024
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