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NPI Code Detail

MEDICARE: DR. JADA LIAN RILEY DC

MEDICARE:  DR. JADA LIAN RILEY  DC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor15190TX

General Provider Information

NPI Number : 1740918382
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JADA LIAN RILEY DC
Provider Business Mailing Address
First Line : 12100 S HIGHWAY 6 APT 7305
Second Line :
City : SUGAR LAND
State : TX
Zip : 77498-5718
Country : US
Telephone Number : 512-743-5032
Fax Number :
Provider Business Practice Location Address
First Line : 2340 TEXAS HERITAGE PKWY STE 100
Second Line :
City : FULSHEAR
State : TX
Zip : 77494-4635
Country : US
Telephone Number : 832-913-8970
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/11/2022
Last Update Date : 02/12/2023

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Directions to “ DR. JADA LIAN RILEY DC” Practice Location

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