Provider Demographics
NPI:1750383881
Name:RIOS, FELIPE (MD)
Entity type:Individual
Prefix:
First Name:FELIPE
Middle Name:
Last Name:RIOS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8208 GULF FWY
Mailing Address - Street 2:STE 101
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77017-4531
Mailing Address - Country:US
Mailing Address - Phone:713-649-0870
Mailing Address - Fax:713-649-7130
Practice Address - Street 1:8208 GULF FWY
Practice Address - Street 2:STE 101
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77017-4531
Practice Address - Country:US
Practice Address - Phone:713-649-0870
Practice Address - Fax:713-649-7130
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-01
Last Update Date:2009-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE7722207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX122990004Medicaid
TX122970002Medicaid
TX122990003Medicaid
TX122990004Medicaid
TX89700FMedicare ID - Type Unspecified