Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080N0001X | Neonatal-Perinatal Doctor | L9448 | TX |
NPI | 1043346588 |
---|---|
Provider Name | Enrique Heberto Rios JR. |
First Address | Houston, TX 77074-1802 |
Second Address | Houston, TX 77074-1802 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/02/2007 |
Last Update Date | 23/07/2008 |