Sammy Dale Rivas is a Surgery in Lubbock, Texas. Sammy Dale Rivas practices all healthcare services and medical treatments related to Surgery. The NPI Number for Sammy Dale Rivas is 1912920141. The last update date is 2021-11-09.
Sammy Dale Rivas's current location address is 3509 22nd St, Lubbock, Texas. You can contact this provider via phone number 8067997928 and fax number 8067888560. The mailing address for Sammy Dale Rivas is 3509 22nd St, Lubbock, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Sammy Dale Rivas |
|---|---|
| Address | 3509 22nd St, Lubbock, Texas |
| Phone Number | 8067997928 |
| Fax Number | 8067888560 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1912920141 |
|---|---|
| Provider Enumeration Date | 2006-07-26 |
| Last Updated Date | 2021-11-09 |
Provider Mailing Address Detail
| Address | 3509 22nd St |
|---|---|
| City | Lubbock |
| State | Texas (TX) |
| Post Code | 794101307 |
| Phone Number | 8067997928 |
| Fax Number | 8067888560 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | J8739 |
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Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 96657403 | TX | -- | |
| J8739 | TX | LICENSE |
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What is the unique 10-digit identification code issued to Sammy Dale Rivas by the Centers for Medicare & Medicaid Services?
The Sammy Dale Rivas has been assigned the NPI (National Provider Identifier) 1912920141 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Sammy Dale Rivas located?
The Sammy Dale Rivas is located at 3509 22Nd St, Lubbock, TX 794101307.
What is Sammy Dale Rivas's area of expertise and its corresponding taxonomy classification?
The Sammy Dale Rivas's field of specialization is Surgery, and it falls under the taxonomy code 208600000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Sammy Dale Rivas receive the assignment of its 1912920141 from the Centers for Medicare & Medicaid Services?
The Sammy Dale Rivas was issued its 1912920141 by the Centers for Medicare & Medicaid Services on 2006-07-26.
As of what date were the details related to Sammy Dale Rivas most recently updated or revised?
The information pertaining to Sammy Dale Rivas, including its address, specialty, and other relevant details, was last updated or revised on 2021-11-09.