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
Phone: (443) 813-1075
Fax: (281) 781-2560
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1851480321 | NPPES |
Texas | MEDICAID | 187974401 |
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