MEDICARE: JOSEPH A RIZZO M.D.

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
1	207RC0000X	Cardiovascular Disease Physician	J7643	TX

General Provider Information

NPI Number	:	1104829639
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSEPH A RIZZO M.D.

Provider Business Mailing Address
First Line	:	4802 N LOOP 289
Second Line	:
City	:	LUBBOCK
State	:	TX
Zip	:	79416-3025
Country	:	US
Telephone Number	:	806-788-0040
Fax Number	:	806-788-0015

Provider Business Practice Location Address
First Line	:	4802 N LOOP 289
Second Line	:
City	:	LUBBOCK
State	:	TX
Zip	:	79416-3025
Country	:	US
Telephone Number	:	806-788-0040
Fax Number	:	806-788-0015

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/30/2005
Last Update Date	:	09/08/2017

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Directions to “ JOSEPH A RIZZO M.D.” Practice Location

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