Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213E00000X | Podiatrist | ||
N | 222Z00000X | Podiatrist | ||
Y | 224P00000X | Prosthetist |
NPI | 1033342639 |
---|---|
Provider Name | James S Riley |
First Address | Paris, TX 75460-3452 |
Second Address | Paris, TX 75460-3452 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/08/2009 |
Last Update Date | 29/08/2009 |