Organization · Type 2 NPI
Joanna Lynn Riley
Multi-Specialty Clinic/Center · Odessa, TX
NPI number
1346507209
Active
Practice location
2760 N Grandview Ave, Suite A
Odessa, TX 79762-6953
Fax (432) 552-7165
Mailing address
PO Box 14774
Odessa, TX 79768-4774
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Multi-Specialty Clinic/Center Primary | 261QM1300X | 109122 (TX) |
Multi-Specialty Clinic/Center: Definition to come...
3 other providers at this address
Other multi-specialty clinic/center providers in Odessa
About NPI 1346507209
Joanna Lynn Riley's National Provider Identifier is 1346507209, issued on Apr 17, 2012. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Odessa, TX. The record was last updated on Sep 14, 2012.