Provider Demographics
NPI:1992280812
Name:RIOS, GUADALUPE MARGARITA (APRN FNP)
Entity type:Individual
Prefix:
First Name:GUADALUPE
Middle Name:MARGARITA
Last Name:RIOS
Suffix:
Gender:F
Credentials:APRN FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8473 CANVASBACK LN
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75249-2215
Mailing Address - Country:US
Mailing Address - Phone:214-949-9997
Mailing Address - Fax:
Practice Address - Street 1:301 E OVILLA RD STE 100
Practice Address - Street 2:
Practice Address - City:RED OAK
Practice Address - State:TX
Practice Address - Zip Code:75154-3830
Practice Address - Country:US
Practice Address - Phone:469-800-9200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-26
Last Update Date:2018-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP138935363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily