A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external...
TX license #J0221taxonomy 208200000X
Identifiers
Type
Value
Notes
05 (TX)
152179101
05 (TX)
031479101
01 (TX)
00701R
MEDICARE PTAN
01 (TX)
0059GS
BLUE CROSS/BLUE SHIELD GR
01 (TX)
8B6021
BLUE CROSS/BLUE SHIELD
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
LUIS M. RIOS, JR.
Type code 3recorded 2008-01-02
Practice context
Multi-provider organization.
2 individual providers on file at this primary address.
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