Rios, Tara Regina

Rios, Tara Regina is an sole proprietor health care provider with primary practice located at 1601 E Alton Gloor Blvd Suite 108, Brownsville TX 78526-3902. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / General Practice is her primary health care specialty. Rios, Tara Regina can be contacted via phone (956) 542-1956.

Contact Information

Primary practice address
1601 E Alton Gloor Blvd Suite 108 Brownsville TX 78526-3902
Phone: (956) 542-1956
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X B19175 Texas
Dental Providers / General Practice 1223G0001X 19175 Texas

Profile Details

NPI number 1073609053
LBN Legal business name Rios, Tara Regina
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 5th, 2006
Last updated Jun 17th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073609053 NPPES
Texas MEDICAID 111235104
Texas MEDICAID 111235106

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