Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | M4927 | TX |
Y | 2080P0214X | Pediatric Pulmonologist | M4927 | TX |
NPI | 1699841098 |
---|---|
Provider Name | Yadira M Rivera Sanchez |
First Address | Dallas, TX 75284-5347 |
Second Address | Dallas, TX 75390-7208 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/11/2006 |
Last Update Date | 04/10/2019 |