Riley, Mark B

Riley, Mark B is an individual health care provider with primary practice located at 2803 Earl Rudder Fwy S Ste 103 , College Station TX 77845-6099. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Riley, Mark B can be contacted via phone (979) 731-8888.

Contact Information

Primary practice address
2803 Earl Rudder Fwy S Ste 103 College Station TX 77845-6099
Fax: (979) 731-8848
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X F3306 Texas

Profile Details

NPI number 1942399316
LBN Legal business name Riley, Mark B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2006
Last updated Aug 12th, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942399316 NPPES
Texas Other 8U5904 BLUE CROSS BLUE SHIELD
Texas MEDICAID 110280806 BLUE CROSS BLUE SHIELD
Texas Other P00410987 BLUE CROSS BLUE SHIELD

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