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NPI Code Detail

MEDICARE: AMANDA RIOS

MEDICARE:   AMANDA  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
1335V00000XPortable X-ray and/or Other Portable Diagnostic Imaging Supplier
2293D00000XPhysiological Laboratory

General Provider Information

NPI Number : 1932525615
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMANDA RIOS
Provider Business Mailing Address
First Line : 2106 BROOK HAVEN DR
Second Line :
City : LEAGUE CITY
State : TX
Zip : 77573-4473
Country : US
Telephone Number : 713-212-9098
Fax Number :
Provider Business Practice Location Address
First Line : 6012 CAMINO ALEGRE DR
Second Line :
City : EL PASO
State : TX
Zip : 79912-2606
Country : US
Telephone Number : 713-212-9098
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/05/2014
Last Update Date : 09/08/2014

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Directions to “ AMANDA RIOS ” Practice Location

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