Healthcare Provider Details
I. General information
NPI: 1881959807
Provider Name (Legal Business Name): MEGAN RENEE RIHA RNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 07/05/2012
Last Update Date: 12/28/2012
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1602 N MECHANIC ST
EL CAMPO TX
77437-2640
US
IV. Provider business mailing address
2100 REGIONAL MEDICAL DR
WHARTON TX
77488-9719
US
V. Phone/Fax
- Phone: 979-543-2956
- Fax: 979-543-6756
- Phone: 979-532-6746
- Fax: 979-532-7730
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LP0200X |
| Taxonomy | Pediatric Nurse Practitioner |
| License Number | 740670 |
| License Number State | TX |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: