Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | N2757 | TX |
NPI | 1003078692 |
---|---|
Provider Name | Felix Gabriel Rivera - Perez |
First Address | Pharr, TX 78577-1614 |
Second Address | Mcallen, TX 78503 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/06/2008 |
Last Update Date | 30/08/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
207011206 | (05) | TX |