Provider Demographics
NPI:1063008720
Name:RIOS NEUROPSYCHOLOGY, PLLC
Entity Type:Organization
Organization Name:RIOS NEUROPSYCHOLOGY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:IRMARIS
Authorized Official - Middle Name:
Authorized Official - Last Name:RIOS VAZQUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:469-588-2587
Mailing Address - Street 1:PO BOX 1326
Mailing Address - Street 2:
Mailing Address - City:LITTLE ELM
Mailing Address - State:TX
Mailing Address - Zip Code:75068-1326
Mailing Address - Country:US
Mailing Address - Phone:469-588-2587
Mailing Address - Fax:
Practice Address - Street 1:5700 GRANITE PKWY STE 200
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75024-6623
Practice Address - Country:US
Practice Address - Phone:469-588-2587
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-17
Last Update Date:2020-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty