Individual
RILEY WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
23552 FM 1314 RD, PORTER, TX 77365-3468
(713) 974-3131
(713) 974-3162
Mailing address
9639 ROARKS PSGE, MISSOURI CITY, TX 77459-6232
(713) 884-5545
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
800180
TX
Other
Enumeration date
03/18/2008
Last updated
03/18/2008
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