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Justin Rivera is one of 716 physician assistants practicing in San Antonio, Texas .
Justin Rivera practices with NLUC PLLC.
Registry record (NPPES)
NPI
1346884806
Type
Type 1 · Individual
Primary taxonomy
Physician Assistant · 363A00000X
Address on file
6841 San Pedro Ave San Antonio, TX 78216-7202 (210) 901-6743
Enumerated
Oct 29, 2019
Record last updated
Jan 16, 2026
License states listed
CA, TX
Medicare (CMS)
Enrollment
Medicare-enrolled in TXPhysician Assistant
Revalidation due
No date set by CMS
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Part D prescribing
Procedure volumes by CPT code
Group affiliations and colleagues
Full enrollment history
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Practice locations
7407 Broadway
San Antonio , TX 78209
(281) 783-8162
1246 N FM 3083 Rd W Suite B
Conroe , TX 77304
(281) 783-8162
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Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.
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