Provider Demographics
NPI:1265674881
Name:LINVILLE, RIMA P (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:RIMA
Middle Name:P
Last Name:LINVILLE
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:MS
Other - First Name:RIMA
Other - Middle Name:
Other - Last Name:PARALKAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:PO BOX 911230
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75391-1230
Mailing Address - Country:US
Mailing Address - Phone:972-997-8000
Mailing Address - Fax:972-234-2987
Practice Address - Street 1:2223 DORRINGTON ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-3209
Practice Address - Country:US
Practice Address - Phone:713-665-0404
Practice Address - Fax:713-665-4007
Is Sole Proprietor?:No
Enumeration Date:2009-03-27
Last Update Date:2021-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA06030363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX215982401Medicaid
TXP00942278OtherRAILROAD MEDICARE
TX215982402Medicaid
TX215982403Medicaid