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Javier Rivera
NPI 1669938858 · on the registry since 2019 · sole proprietor
Practice
- Address
- 364 Thoroughbred Ln
Grand Prairie, TX 75050 - Phone
- (469) 640-0609
Registry record
- Primary taxonomy
- 343900000X
343900000X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-02-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas