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Individual

DAVID RIEDEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
12550 WEST HIGHWAY 29, LIBERTY HILL, TX 78642
(512) 528-2100
(512) 515-6710
Mailing address
12550 WEST HIGHWAY 29, LIBERTY HILL, TX 78642
(512) 528-2100
(512) 515-6710

Taxonomy

Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
H8355
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
21H8355
OK
Enumeration date
10/24/2006
Last updated
07/08/2007
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