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NPI Code Detail

MEDICARE: MANUEL RIOS

MEDICARE:   MANUEL  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
1225200000XPhysical Therapy Assistant2018743TX

General Provider Information

NPI Number : 1558769737
Entity Type Code : Individual
Provider Name (Legal Business Name) : MANUEL RIOS
Provider Business Mailing Address
First Line : 2951 HIGHWAY 281
Second Line :
City : GEORGE WEST
State : TX
Zip : 78022-3845
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2951 HIGHWAY 281
Second Line :
City : GEORGE WEST
State : TX
Zip : 78022-3845
Country : US
Telephone Number : 361-449-2532
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/20/2014
Last Update Date : 12/20/2014

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Directions to “ MANUEL RIOS ” Practice Location

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