Provider Demographics
NPI:1386920353
Name:RIVES, DANNY LOUIS JR (DC)
Entity type:Individual
Prefix:DR
First Name:DANNY
Middle Name:LOUIS
Last Name:RIVES
Suffix:JR
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1819 BROADWAY ST
Mailing Address - Street 2:STE 101
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77581-5671
Mailing Address - Country:US
Mailing Address - Phone:281-993-4109
Mailing Address - Fax:877-781-6179
Practice Address - Street 1:10015 RUSTIC GATE RD
Practice Address - Street 2:
Practice Address - City:LA PORTE
Practice Address - State:TX
Practice Address - Zip Code:77571-4148
Practice Address - Country:US
Practice Address - Phone:281-691-2866
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-22
Last Update Date:2019-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL10406111N00000X
TX11820111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor