Provider Demographics
NPI:1124310230
Name:RIVAS, ELIZABETH RAE (MD)
Entity type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:RAE
Last Name:RIVAS
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1362 JOHN PHELAN DR
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79936-7250
Mailing Address - Country:US
Mailing Address - Phone:915-497-3264
Mailing Address - Fax:
Practice Address - Street 1:3601 4TH ST STE 1B350K
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79430-2709
Practice Address - Country:US
Practice Address - Phone:806-743-2981
Practice Address - Fax:806-743-2984
Is Sole Proprietor?:No
Enumeration Date:2011-05-07
Last Update Date:2021-11-22
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Provider Licenses
StateLicense IDTaxonomies
TXP9711207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology