Individual provider · Type 1 NPI
Riley Wilson
Land Ambulance · Porter, TX
NPI number
1174794119
Active
Practice location
23552 FM 1314 Rd
Porter, TX 77365-3468
Fax (713) 974-3162
Mailing address
9639 Roarks Psge
Missouri City, TX 77459-6232
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Land Ambulance Primary | 3416L0300X | 800180 (TX) |
Land Ambulance: Definition to come...
About NPI 1174794119
Riley Wilson's National Provider Identifier is 1174794119, issued on Mar 18, 2008. The primary taxonomy on file is Land Ambulance (3416L0300X), and the practice location is in Porter, TX. The record was last updated on Mar 18, 2008.