IndividualActive
Michael Rivard, IDC
NPI 1417389461 · Independent Duty Corpsman · Fort Worth, TX
Provider details
- NPI number
- 1417389461
- Entity type
- Individual
- Primary specialty
- Independent Duty CorpsmanOther Service Providers
- Credential
- IDC
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Practice location
1711 Doolittle Ave
Fort Worth, TX 76127-1133
Phone: (817) 782-5909
Fax: (817) 782-5949
Approximate (ZIP-level) locationGet directions
Mailing address
1711 Doolittle Ave
Fort Worth, TX 76127-1133
Registry dates
- Enumerated
- 2013-08-01
- Last updated
- 2015-07-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.