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NPI Code Detail

MEDICARE: MARCEL RIVERS

MEDICARE: MARCEL RIVERS
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
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1932990280
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARCEL RIVERS
Provider Business Mailing Address
First Line : 20008 CHAMPION FOREST DR
Second Line :
City : SPRING
State : TX
Zip : 77379-8694
Country : US
Telephone Number : 832-763-8028
Fax Number :
Provider Business Practice Location Address
First Line : 18551 CHAMPION FOREST DR
Second Line :
City : SPRING
State : TX
Zip : 77379-5582
Country : US
Telephone Number : 832-763-8028
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/15/2025
Last Update Date : 05/15/2025

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Directions to “ MARCEL RIVERS ” Practice Location

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