Rivera, Douglas Jason
Rivera, Douglas Jason is an individual health care provider with primary practice located at 2000 Scenic Dr Ste G002 , Georgetown TX 78626-7726. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Rivera, Douglas Jason can be contacted via phone (512) 531-5200.Contact Information
Primary practice address
2000 Scenic Dr Ste G002
Georgetown TX 78626-7726
Phone: (512) 531-5200
Fax: (512) 865-4068
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | M2048 | Texas |
Profile Details
| NPI number | 1073583274 |
|---|---|
| LBN Legal business name | Rivera, Douglas Jason |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 23rd, 2006 |
| Last updated | Mar 2nd, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073583274 | NPPES |
| Texas | MEDICAID | 173387101 |
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