Individual
ANGEL RIVAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
571 W MAIN ST STE 100, LEWISVILLE, TX 75057-3667
(972) 436-9785
(972) 436-6068
Mailing address
571 W MAIN ST STE 100, LEWISVILLE, TX 75057-3667
(972) 436-9785
(972) 436-6068
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
14256
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14256
TX LICENSE
TX
Enumeration date
11/18/2019
Last updated
07/09/2020
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