Individual
ELIZABETH JANE RILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1602 ROCK PRAIRIE RD, COLLEGE STATION, TX 77845-8306
(979) 696-4440
Mailing address
1505 E 31ST ST, BRYAN, TX 77802-1421
(979) 777-2980
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
243062
TX
Other
Enumeration date
10/23/2018
Last updated
10/23/2018
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