Provider Demographics
NPI:1831456433
Name:RIVET, JOSHUA JUDE (MD)
Entity type:Individual
Prefix:
First Name:JOSHUA
Middle Name:JUDE
Last Name:RIVET
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 1:800 8TH AVE STE 206
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76104-2619
Mailing Address - Country:US
Mailing Address - Phone:817-529-9199
Mailing Address - Fax:817-539-9310
Practice Address - Street 1:3327 COLORADO BLVD STE 100
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76210-6866
Practice Address - Country:US
Practice Address - Phone:940-287-3793
Practice Address - Fax:817-539-9310
Is Sole Proprietor?:No
Enumeration Date:2012-04-19
Last Update Date:2025-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXS8105208200000X, 2086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery
No208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery