Riedel, Larry

Riedel, Larry is an individual health care provider with primary practice located at 605 E San Antonio St Ste 402W , Victoria TX 77901-6050. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Riedel, Larry can be contacted via phone (361) 575-0228.

Contact Information

Primary practice address
605 E San Antonio St Ste 402W Victoria TX 77901-6050
Phone: (361) 575-0228
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X C5851 Texas

Profile Details

NPI number 1053373738
LBN Legal business name Riedel, Larry
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2006
Last updated Aug 26th, 2020 - about 6 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 1053373738 NPPES
Texas Other 8K1353 BLUE CROSS
Texas MEDICAID 097299703 BLUE CROSS

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