Individual provider · Type 1 NPI

Michael C. Riddle Jr., MD

Student in an Organized Health Care Education/Training Program · Conroe, TX

NPI number 1053673830 Active

Practice location

704 FM 2854
Conroe, TX 77301-2740

Call (936) 539-4004 Map

Fax (936) 539-3635

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1053673830

Michael C. Riddle Jr., MD's National Provider Identifier is 1053673830, issued on Jun 8, 2012. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Conroe, TX. The record was last updated on Jun 8, 2012.