Individual
MR. JAMES E. RISER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
A.T.C.
Contact information
Practice address
1800 E 42ND ST, ODESSA, TX 79762-5839
(432) 250-4236
Mailing address
1800 E 42ND ST, ODESSA, TX 79762-5839
(432) 250-4236
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
828
SC
2255A2300X
Athletic Trainer
Primary
AT1476
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000030512
BOC - ATHLETIC TRAINER
—
Enumeration date
02/15/2006
Last updated
06/09/2015
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