| Organization Name: | SCOTT RIVENES MD PA |
| NPI Number: | 1023314424 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SCOTT RIVENES (OWNER) |
| Mailing Address: | 12350 Westheimer Rd Suite G Houston |
| State: | TX US |
| Postal Code: | 770776004 |
| Phone Number: | 2814961199 |
| Fax Number: | 2814961441 |
| NPI Enumeration Date: | 02/01/2011 |
| NPI Last Update Date: | 06/17/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TX |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |