CANDICE RENEE RIOS


Address: 6201 Sunset Dr Ste 650, Fort Worth, TX 76116-5521
Phone: 8177518177

CANDICE RENEE RIOS (NPI# 1114455656) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114455656
Entity Type Individual
Full Name CANDICE RENEE RIOS
Credential MA, AREOLA ARTIST
Practice Address 6201 Sunset Dr Ste 650
Fort Worth
TX 76116-5521
Mailing Address 1500 Park Crest Dr
Crowley
TX 76036-3464
Practice Telephone 8177518177
Mailing Telephone 8177518177
Enumeration Date 2017-05-29
Last Update Date 2017-05-29
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 246ZA2600X Specialist/Technologist, Other
Specialization: Art, Medical
3DAREOLA TX Technologists, Technicians & Other Technical Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
TX TEXAS DEPARTMENT OF HEALTH 82-1067523 01

Office Location

Street Address 6201 SUNSET DR STE 650
City FORT WORTH
State TX
Zip Code 76116-5521

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1952908980 William Michael Marshall Pharmacist 8600 Camp Bowie Blvd, Forth Worth, TX 76116 2020-10-02
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1245769728 Randall R Williams Physical Therapist 6913 Camp Bowie Blvd Suite 141, Fort Worth, TX 76116 2017-06-08
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1104288372 Brown Mobile Dental Pa Dentist 8008 Camp Bowie W Blvd, Ste 101, Fort Worth, TX 76116 2016-03-25
1639553431 Bartholomew A Akubukwe Pharmacist 6700 Westfree Way, Fortworth, TX 76116 2015-07-13
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Taxonomy Information

Taxonomy Code 246ZA2600X
Grouping Technologists, Technicians & Other Technical Service Providers
Classification Specialist/Technologist, Other
Specialization Art, Medical

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
1689294605 Seungeun Szczechowski Specialist/Technologist, Other 8308 Preston Rd Bldg 200, Suite 259, Plano, TX 75024 2020-04-20
1184268609 Terry Lynn Lively Specialist/Technologist, Other 18819 Fm 2252 Ste 5b, San Antonio, TX 78266-2580 2019-10-29
1194379453 Standard Sleep Centers Specialist/Technologist, Other 10020 Research Forest Dr Ste C, The Woodlands, TX 77354-6780 2019-07-25
1851832497 Summer France Specialist/Technologist, Other 8415 Datapoint Dr Ste 800, San Antonio, TX 78229-3285 2017-03-15
1609320399 Ashlei Daugherty Specialist/Technologist, Other 12345 N Lamar Blvd, Suite 260, Austin, TX 78753-1337 2016-08-10
1326367921 Diane G Lucio Specialist/Technologist, Other 3800 Perrin Central Blvd, 318, San Antonio, TX 78217-2794 2010-05-21
1538366695 Heather Simmons Specialist/Technologist, Other 14427 Brook Hollow Blvd, 247, San Antonio, TX 78232-3826 2007-06-29
1093345829 Home Sleep of Texas Specialist/Technologist, Other 6655 Travis St Ste 850, Houston, TX 77030-1317 2020-01-21
1922577972 Pinacle Diagnostic Sleep Center Specialist/Technologist, Other 6655 Travis St Ste 850, Houston, TX 77030-1317 2018-11-20
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Competitor

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City FORT WORTH
Zip Code 76116

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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