MEDICARE: XAVIER 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
1	2080P0207X	Pediatric Hematology & Oncology Physician	T1535	TX
2	208000000X	Pediatrics Physician	01082926A	IN

General Provider Information

NPI Number	:	1568858017
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	XAVIER RIOS

Provider Business Mailing Address
First Line	:	1102 BATES AVE
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-2698
Country	:	US
Telephone Number	:	832-828-3660
Fax Number	:

Provider Business Practice Location Address
First Line	:	1102 BATES AVE
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-2698
Country	:	US
Telephone Number	:	832-828-3660
Fax Number	:

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

Provider Enumeration Date	:	04/11/2015
Last Update Date	:	11/26/2025

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Directions to “ XAVIER RIOS ” Practice Location

Language	Start Address	Practice Location

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