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General NPI Number Information
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NPI Number | 1790991776
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Entity Type | Organization
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Legal Business Name | RIOS FAMILY MEDICINE CLINIC PA
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Dates
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Enumeration Date | 05/15/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 23920 KATY FREEWAY SUITE 500
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City | KATY
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State | TX
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Zip | 77494
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Country | US
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Telephone | 281-391-5011
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Fax | 281-391-5019
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Provider Business Mailing Address
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Address Line | PO BOX 6922
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City | KATY
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State | TX
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Zip | 77491-6922
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Country | US
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Telephone | 281-391-5011
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Fax | 281-391-5019
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. GADDIEL D RIOS
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Credential | MD
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Telephone | 281-391-5011
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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