Rivera, Tommy

Rivera, Tommy is an sole proprietor health care provider with primary practice located at 6387 Camp Bowie Blvd Ste B512 , Fort Worth TX 76116-5423. He recently has only one registered license in Managed Care Organizations / Point of Service, which is considered as his primary health care specialty. Rivera, Tommy can be contacted via phone (817) 939-7434.

Contact Information

Primary practice address
6387 Camp Bowie Blvd Ste B512 Fort Worth TX 76116-5423
Phone: (817) 939-7434
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Point of Service 305S00000X

Profile Details

NPI number 1932891538
LBN Legal business name Rivera, Tommy
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 22nd, 2023
Last updated May 22nd, 2023 - about last year

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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