Individual
MRS. BRIANNA RIDDLEBARGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3421 STORY RD W, IRVING, TX 75038-3571
(888) 544-0470
(888) 544-0470
Mailing address
3421 STORY RD W, IRVING, TX 75038-3571
(888) 544-0470
(888) 544-0470
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
PA15765
TX
2084P0800X
Psychiatry Physician
PA57598
CA
363A00000X
Physician Assistant
57598
CA
Other
Enumeration date
11/02/2018
Last updated
03/07/2024
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