Provider Demographics
NPI:1588063887
Name:RIVAUX, GEORGE RICHARD (MD)
Entity type:Individual
Prefix:
First Name:GEORGE
Middle Name:RICHARD
Last Name:RIVAUX
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1235 NASA PKWY APT 1436
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77058-3798
Mailing Address - Country:US
Mailing Address - Phone:409-539-0820
Mailing Address - Fax:
Practice Address - Street 1:1235 NASA PKWY APT 1436
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77058-3798
Practice Address - Country:US
Practice Address - Phone:409-539-0820
Practice Address - Fax:903-447-5465
Is Sole Proprietor?:No
Enumeration Date:2014-08-22
Last Update Date:2022-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program