Individual
CHANCE DAREN RILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDMT
Contact information
Practice address
527 TUSKEGEE AIRMEN AVE, SHEPPARD AFB, TX 76311
(409) 676-1954
Mailing address
3222 CPL JOHNSON RD, FORT SAM HOUSTON, SAN ANTONIO, TX 78251
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
07/23/2018
Last updated
10/02/2023
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