Provider Demographics
NPI:1790361459
Name:YOUR HOME PHYSICIAN INC.
Entity Type:Organization
Organization Name:YOUR HOME PHYSICIAN INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NORMA
Authorized Official - Middle Name:MARIA
Authorized Official - Last Name:RIVERA-OPIO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:832-289-8365
Mailing Address - Street 1:PO BOX 551
Mailing Address - Street 2:
Mailing Address - City:SPLENDORA
Mailing Address - State:TX
Mailing Address - Zip Code:77372-0551
Mailing Address - Country:US
Mailing Address - Phone:832-289-8365
Mailing Address - Fax:
Practice Address - Street 1:21120 CARTER RD
Practice Address - Street 2:
Practice Address - City:SPLENDORA
Practice Address - State:TX
Practice Address - Zip Code:77372-3003
Practice Address - Country:US
Practice Address - Phone:832-289-8365
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-23
Last Update Date:2021-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care