Individual
AMANDA RIOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6012 CAMINO ALEGRE DR, EL PASO, TX 79912-2606
(713) 212-9098
Mailing address
2106 BROOK HAVEN DR, LEAGUE CITY, TX 77573-4473
(713) 212-9098
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
—
—
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
—
—
Other
Enumeration date
03/05/2014
Last updated
09/08/2014
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