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Individual

DR. JAMES RANDALL RILEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
1318 E. 4TH ST., BIG SPRING, TX 79720-3302
(432) 263-6185
(432) 264-9644
Mailing address
1318 E 4TH ST, BIG SPRING, TX 79720-3302
(432) 263-6185
(432) 264-9644

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
8736
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
042015001
TX
01
8A5350
BC/BS TX PROVIDER NUMBER
TX
01
P00009556
RAILROAD MEDICARE PROV. #
TX
Enumeration date
08/05/2006
Last updated
08/26/2010
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