| Doctor Name: | MR. JASON RALPH RIFFLE |
| NPI Number: | 1003065368 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | C.P. |
| License Number: | 318 |
| Business Practice Address: | 7271 Wurzbach Rd Suite 128 San Antonio, TX - 782403800 |
| Business Phone Number: | 2106145500 |
| Business Fax Number: | 2106145551 |
| Mailing Address: | 7271 Wurzbach Rd, Suite 128 SAN ANTONIO |
| State: | TX |
| Postal Code: | 782403800 |
| Phone Number: | 2106145500 |
| Fax Number: | 2106145551 |
| NPI Enumeration Date: | 09/11/2008 |
| NPI Last Update Date: | 02/07/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1744P3200X |
| License Number: | 318 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | Prosthetics Case Management |
| Taxonomy Definition: | |