Jentry Danielle Riddle in Round Rock - Physician Assistant
Jentry Danielle Riddle - NPI 1003849837
Jentry Danielle Riddle is a Physician Assistant in Round Rock, Texas. Jentry Danielle Riddle practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Jentry Danielle Riddle is 1003849837. The last update date is 2009-06-15.
Jentry Danielle Riddle's current location address is 1201 Sam Bass Road, Round Rock, Texas. You can contact this provider via phone number 5123881861 and fax number 5123880373. The mailing address for Jentry Danielle Riddle is 1201 Sam Bass Road, Round Rock, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jentry Danielle Riddle |
|---|---|
| Address | 1201 Sam Bass Road, Round Rock, Texas |
| Phone Number | 5123881861 |
| Fax Number | 5123880373 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1003849837 |
|---|---|
| Provider Enumeration Date | 2006-07-07 |
| Last Updated Date | 2009-06-15 |
Provider Mailing Address Detail
| Address | 1201 Sam Bass Road |
|---|---|
| City | Round Rock |
| State | Texas (TX) |
| Post Code | 786814137 |
| Phone Number | 5123881861 |
| Fax Number | 5123880373 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | MP00154600 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1991747-01 | TX | -- | |
| 1991747-02 | TX | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Jentry Danielle Riddle by the Centers for Medicare & Medicaid Services?
The Jentry Danielle Riddle has been assigned the NPI (National Provider Identifier) 1003849837 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Jentry Danielle Riddle located?
The Jentry Danielle Riddle is located at 1201 Sam Bass Road, Round Rock, TX 786814137.
What is Jentry Danielle Riddle's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jentry Danielle Riddle is Physician Assistant, and the corresponding taxonomy classification code for this specialized field is 363A00000X.
When did Jentry Danielle Riddle receive its 1003849837 assignment?
The Jentry Danielle Riddle was assigned its 1003849837 on 2006-07-07, which is the date when this unique identifier was issued to the organization.
When was the information related to Jentry Danielle Riddle most recently updated or refreshed?
The details pertaining to the Jentry Danielle Riddle, including its address, specialty, and other relevant information, were last updated or refreshed on 2009-06-15.