Provider Demographics
NPI:1013378777
Name:RIOS FAMILY MEDICINE
Entity type:Organization
Organization Name:RIOS FAMILY MEDICINE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:GADDIEL
Authorized Official - Middle Name:D
Authorized Official - Last Name:RIOS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-944-9095
Mailing Address - Street 1:2222 GREENHOUSE RD STE 1000
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77084-7342
Mailing Address - Country:US
Mailing Address - Phone:281-944-9095
Mailing Address - Fax:888-809-8549
Practice Address - Street 1:2222 GREENHOUSE RD STE 1000
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77084-7342
Practice Address - Country:US
Practice Address - Phone:281-944-9095
Practice Address - Fax:888-809-8549
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-09
Last Update Date:2016-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP129465261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care