NPI 1487214649

Tanner Lee Risner

Practitioner Independent Duty Medical Technicians Dyess Afb, TX

Practice location

Address: 697 Louisiana Rd, Dyess Afb, TX 79607-1141
Phone: (325) 696-6600
Mailing address: 2910 B St APT 12, Rosamond, CA 93560-7862

Registered specialties

Independent Duty Medical Technicians Primary

Other Service Providers Taxonomy 1710I1003X Licence 1487214649 (TX)

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Registry record

NPI: 1487214649
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Jun 2019
Record last updated: 2 Jun 2026

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.