RILEY SHANNON

HOUSTON, TX
NPI1508597121
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: TX  PA17171)
Enumeration Date2022-06-23
Last Update Date2023-11-01
Business Address
RILEY SHANNON
11800 ASTORIA BLVD
HOUSTON, TX 77089-6041
Phone number: 281-929-6100
Mailing Address
RILEY SHANNON
3037 SAMANTHA DR
BALDWINSVILLE, NY 13027-8978
Phone number: 315-415-4969