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Mr. Michael Ben Andrew Riley, LSA,CSA
Surgical Physician Assistant in Spring, Texas
NPI 1851566020

Michael Ben Andrew Riley is a Surgical Physician Assistant based in Spring, TX and is specialized in Surgical. Michael Ben Andrew Riley practices in Spring, TX and has the professional credentials of LSA,CSA. The NPI Number for Michael Ben Andrew Riley is 1851566020 and holds a License No. SA00319 (Texas).

The current practice location address for Michael Ben Andrew Riley is 8215 Lichen Ln, Spring, TX and can be reached out via phone at 832-559-3870.

Location: 8215 Lichen Ln, Spring, TX, 77391-1807
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1851566020
Provider Name
Michael Ben Andrew Riley
Credential
LSA,CSA
Provider Entity Type
Individual
Gender
Male
Address
8215 Lichen Ln, Spring, TX, 77391-1807
Phone Number
832-559-3870
Fax Number
Provider Enumeration Date
04/28/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0027SX 01 BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
8215 Lichen Ln
City
Spring
State
Texas
Zip
77379-4517
Phone Number
832-559-3870
Fax Number
person
Provider Business Mailing Address Details
Address
8215 Lichen Ln
City
Spring
State
Texas
Zip
77379-4517
Phone Number
832-559-3870
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
363AS0400X
License No.
SA00319 (Texas)
Definition
Definition to come...
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