Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Dr. Justin B Rivas

Individual provider Gerontology Nurse Practitioner · NPI 1083523708

Dr. Justin B Rivas is a Gerontology Nurse Practitioner in Lubbock, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2026

Practice location Address checks out

602 Indiana Ave
Lubbock, TX 79415-3364
Phone: (896) 775-8200
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 1001417 (TX)

Record details

NPI number1083523708
Entity typeIndividual (Type 1)
GenderNot disclosed
Sole proprietorYes
NPI enumeratedSeptember 7, 2026
Last updated in NPPESSeptember 7, 2026
Certification dateSeptember 7, 2026

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