Individual
JAKE RIELLY CODDING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6901 MEDICAL PKWY, WACO, TX 76712-7910
(254) 751-4180
Mailing address
2401 S 31ST ST # 11AG062, TEMPLE, TX 76508-0001
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
V8963
TX
Other
Enumeration date
04/05/2022
Last updated
08/01/2025
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