Riley Daniel Little, | |
212 Russell Blvd, Nacogdoches, TX 75965-1237 | |
(936) 569-9239 | |
Not Available |
Full Name | Riley Daniel Little |
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Gender | Male |
Speciality | Family Medicine |
Location | 212 Russell Blvd, Nacogdoches, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588292569 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | LL84343 (South Carolina) | Primary |
Entity Name | Mcleod Regional Medical Center Of The Pee Dee, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427004738 PECOS PAC ID: 7416851852 Enrollment ID: O20040630000125 |
Entity Name | Colonial Family Practice Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518074640 PECOS PAC ID: 9931017118 Enrollment ID: O20040727000107 |
Entity Name | Mcleod Health Cheraw |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275912974 PECOS PAC ID: 7911228259 Enrollment ID: O20151218002079 |
Entity Name | Mcleod Health Clarendon |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508218793 PECOS PAC ID: 0840582656 Enrollment ID: O20160915000930 |
Mailing Address | Practice Location Address |
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Riley Daniel Little, 212 Russell Blvd, Nacogdoches, TX 75965-1237 Ph: (936) 305-3700 | Riley Daniel Little, 212 Russell Blvd, Nacogdoches, TX 75965-1237 Ph: (936) 569-9239 |
Rachel L Cline, Family Medicine Medicare: Medicare Enrolled Practice Location: 3900 Ne Stallings Dr Ste 101, Nacogdoches, TX 75965 Phone: 936-559-8770 Fax: 936-559-8773 | |
Dr. Laxman R Kalvakuntla, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 63 Waterford Dr, Nacogdoches, TX 75965 Phone: 936-645-1044 Fax: 936-205-1328 | |
Eric A Cline, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 3900 Ne Stallings Dr Ste 101, Nacogdoches, TX 75965 Phone: 936-559-8770 Fax: 936-559-8773 | |
Dr. William Wayne Hairston, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 1002 N Mound St, Nacogdoches, TX 75961 Phone: 936-560-3800 Fax: 936-560-0102 | |
Bryan W Davis, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 129 Creekbend Blvd, Nacogdoches, TX 75965 Phone: 936-205-5949 Fax: 936-205-5953 | |
Dr. Carl Alexander Davis, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 613 Russell Blvd, Nacogdoches, TX 75965 Phone: 936-305-4155 Fax: 936-305-4156 | |
Dr. Edwin Concerman Emborgo, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1023 N Mound St, Suite A, Nacogdoches, TX 75961 Phone: 936-564-2691 Fax: 713-634-2636 |