NPI 1083191159
Chance Daren Riley, IDMT
Practice location
- Address
- 527 Tuskegee Airmen Ave, Sheppard Afb, TX 76311
- Phone
- (409) 676-1954
- Mailing address
- 3222 Cpl Johnson Rd Fort Sam Houston, San Antonio, TX 78251
Registered specialties
Independent Duty Medical Technicians
Primary
Registry record
- NPI
- 1083191159
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 23 Jul 2018
- Record last updated
- 2 Oct 2023
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.