Individual
CHRISTOPHER J RILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 S MAIN ST, FORT WORTH, TX 76104-4917
(817) 702-3431
Mailing address
PO BOX 732973 SUITE 201, DALLAS, TX 75373-0001
(817) 918-5204
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
T0128
TX
2086S0129X
Vascular Surgery Physician
Primary
T0128
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/15/2016
Last updated
07/15/2024
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