| NPI | 1538982301 |
|---|---|
| Doing Business As | RIEDEL FAMILY PRACTICE AND GERIATRICS |
| Entity Type | Organization |
| Authorized Contact | MICCA R RIEDEL Owner 409-291-8710 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health |
| 363LG0600X Nurse Practitioner, Gerontology | |
| Enumeration Date | 2024-11-01 |
| Last Update Date | 2024-11-01 |