Individual
DR. STEVEN CLAYTON RILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1340 E 7TH ST, ODESSA, TX 79760
(432) 332-2663
(432) 337-0910
Mailing address
1340 E 7TH ST, ODESSA, TX 79761-4724
(432) 332-2663
(432) 337-0910
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
H0761
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
122514100
SOUTHWEST LIFE & HEALTH
TX
05
—
135556206
—
TX
01
—
181001200
DEPT OF LABOR
TX
01
—
200032830
RAILROAD MCR
TX
01
—
4217928
AETNA
TX
01
—
83551G
BCBS
TX
01
—
MDH0761
WORKMENS COMPENSATION
TX
Enumeration date
08/08/2006
Last updated
06/14/2010
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