| NPI | 1801077631 |
|---|---|
| Doing Business As | RIVERS MULTI PLEX CENTER |
| Entity Type | Organization |
| Authorized Contact | LINDA IVORY JOHNSON Administrator 832-477-1073 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization |
| Enumeration Date | 2007-11-20 |
| Last Update Date | 2007-11-20 |