Individual
CHRISTOPHER RIDDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
104 7TH ST, BAY CITY, TX 77414-4853
(979) 241-3319
Mailing address
104 7TH ST, BAY CITY, TX 77414-4853
(979) 241-3319
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
756340
TX
Other
Enumeration date
01/15/2013
Last updated
01/16/2013
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