Rivera, Elisa

Rivera, Elisa is an individual health care provider with primary practice located at 20144 Morton Rd # 202 , Katy TX 77449-3726. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Rivera, Elisa can be contacted via phone (443) 813-1075.

Contact Information

Primary practice address
20144 Morton Rd # 202 Katy TX 77449-3726
Fax: (281) 781-2560
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA00430 Texas

Profile Details

NPI number 1851480321
LBN Legal business name Rivera, Elisa
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2006
Last updated Aug 27th, 2021 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851480321 NPPES
Texas MEDICAID 187974401

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