| Doctor Name: | RILEY WILSON |
| NPI Number: | 1174794119 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | 800180 |
| Business Practice Address: | 23552 Fm 1314 Rd Porter, TX - 773653468 |
| Business Phone Number: | 7139743131 |
| Business Fax Number: | 7139743162 |
| Mailing Address: | 9639 Roarks Psge, MISSOURI CITY |
| State: | TX |
| Postal Code: | 774596232 |
| Phone Number: | 7138845545 |
| Fax Number: | |
| NPI Enumeration Date: | 03/18/2008 |
| NPI Last Update Date: | 03/18/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | 800180 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |