Individual
RILEY HOISTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1228 TAMU, COLLEGE STATION, TX 77843-0001
(605) 350-4471
Mailing address
1501 COPPERFIELD PKWY APT 521, COLLEGE STATION, TX 77845-4681
(605) 350-4471
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1727-39
WI
Other
Enumeration date
02/29/2016
Last updated
02/29/2016
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