Individual
GERARDO RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
902 FROSTWOOD DR STE 155, HOUSTON, TX 77024-2449
(832) 530-4159
Mailing address
PO BOX 4439, HOUSTON, TX 77210-4439
(713) 792-2991
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA14388
TX
Other
Enumeration date
02/28/2021
Last updated
12/02/2024
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