Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHARLES MIKE RIOS, MD
Active Sole ProprietorNeurodevelopmental Disabilities · GRAPEVINE, TX
Registration Details
- NPI Number
- 1467650564
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 10, 2007 (18.784647459682 yrs)
- Last Updated
- Oct 10, 2012
- Licenses
-
F5723 (TX)F5723 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1100 S. MAIN ST. #103GRAPEVINE, TX, 76051Browse TX providers · Browse ZIP 76051
- Phone
- 8173105510
- Fax
- 8173105508
- Primary Specialty
-
Neurodevelopmental Disabilities
2080P0008X
- Additional Specialty
- Neurodevelopmental Disabilities
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.