NPI 1073077129
17 Media Group LLC
Practice location
- Address
- 2403 W Stan Schlueter Loop Unit 690398, Killeen, TX 76549-0217
- Phone
- (870) 278-3275
Authorised official
- Name
- Ricky Wilson
- Title
- Owner
- Phone
- (870) 278-3275
Registered specialties
Transportation Broker
Primary
Registry record
- NPI
- 1073077129
- Entity type
- Organization
- NPI issued
- 23 Jan 2019
- Record last updated
- 30 Jan 2019
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.