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Organization

LUCIAN J RIVELA MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LUCIAN JOSEPH RIVELA MD (OWNER)
(281) 681-3905
Entity
Organization

Contact information

Practice address
9191 PINECROFT DR, SUITE 150, THE WOODLANDS, TX 77380
(281) 681-3905
(281) 362-0403
Mailing address
1442 KINGWOOD DRIVE, PMB 73, KINGWOOD, TX 77339
(281) 354-1234
(281) 354-2514

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
K4991
TX

Other

Enumeration date
11/15/2006
Last updated
03/26/2008
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