Individual provider · Type 1 NPI
Jentry Danielle Riddle, PA
Medical Physician Assistant · Killeen, TX
NPI number
1003849837
Active
Practice location
4204 East Stan Schleuter Loop
Killeen, TX 76542-8352
Fax (254) 690-5401
Mailing address
1201 Sam Bass Road
Round Rock, TX 78681-4137
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | MP00154600 (NJ) |
| Physician Assistant | 363A00000X | PA05748 (TX) |
| Medical Physician Assistant Primary | 363AM0700X | PA05748 (TX) |
Medical Physician Assistant: Definition to come...
Other medical physician assistant providers in Killeen
- Matt P. Prewitt, P.A.-CMedical Physician Assistant Killeen, TX NPI 1023044898
- Dorothy Mae Thompson, PHYSICIAN ASSISTANTMedical Physician Assistant Killeen, TX NPI 1033259155
- Cassandra Louise Kennedy, PA-CMedical Physician Assistant Killeen, TX NPI 1245993195
- Robert Farrell Stokes Jr., PA-CMedical Physician Assistant Killeen, TX NPI 1639509631
- Samantha Duran McGradeMedical Physician Assistant Killeen, TX NPI 1760042071
- Paul D. Peterson, PAMedical Physician Assistant Killeen, TX NPI 1861494486
- Jeffrey A. Brooks, PA-CMedical Physician Assistant Killeen, TX NPI 1861556631
- Vangalea J. Weems, P.A.Medical Physician Assistant Killeen, TX NPI 1962594002
About NPI 1003849837
Jentry Danielle Riddle, PA's National Provider Identifier is 1003849837, issued on Jul 7, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Killeen, TX. The record was last updated on Jun 15, 2009.