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NPI Code Detail

MEDICARE: LUIS ANGEL RIOS

MEDICARE: LUIS ANGEL RIOS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist76388TX

General Provider Information

NPI Number : 1386517209
Entity Type Code : Individual
Provider Name (Legal Business Name) : LUIS ANGEL RIOS
Provider Business Mailing Address
First Line : 4305 N CONWAY AVE
Second Line :
City : PALMHURST
State : TX
Zip : 78573-1372
Country : US
Telephone Number : 956-519-7523
Fax Number :
Provider Business Practice Location Address
First Line : 4305 N CONWAY AVE
Second Line :
City : PALMHURST
State : TX
Zip : 78573-1372
Country : US
Telephone Number : 956-519-7523
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/26/2025
Last Update Date : 09/26/2025

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Directions to “ LUIS ANGEL RIOS ” Practice Location

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