MEDICARE: FELIPE RIOS 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	207R00000X	Internal Medicine Physician	E7722	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1750383881
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FELIPE RIOS M.D

Provider Business Mailing Address
First Line	:	8208 GULF FWY
Second Line	:	STE 101
City	:	HOUSTON
State	:	TX
Zip	:	77017-4531
Country	:	US
Telephone Number	:	713-649-0870
Fax Number	:	713-649-7130

Provider Business Practice Location Address
First Line	:	8208 GULF FWY
Second Line	:	STE 101
City	:	HOUSTON
State	:	TX
Zip	:	77017-4531
Country	:	US
Telephone Number	:	713-649-0870
Fax Number	:	713-649-7130

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

Provider Enumeration Date	:	06/01/2005
Last Update Date	:	09/09/2009

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