Active NPI
Riley Wilson
- Land Ambulance
- Porter, TX
National Provider Identifier
1174794119
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 800180
- Practice address
- 23552 FM 1314 Rd
Porter, TX 77365-3468 - Phone
- (713) 974-3131
- Fax
- (713) 974-3162
- NPI assigned
- Mar 18, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 800180 | TX | Primary |
Addresses
Primary practice location
23552 FM 1314 Rd
Porter, TX 77365-3468
Mailing address
9639 Roarks Psge
Missouri City, TX 77459-6232
Phone (713) 884-5545
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 800180 | TX | MD | Land Ambulance |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205798400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205798400000",
"number": "1174794119",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9639 ROARKS PSGE",
"city": "MISSOURI CITY",
"state": "TX",
"postal_code": "774596232",
"telephone_number": "713-884-5545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23552 FM 1314 RD",
"city": "PORTER",
"state": "TX",
"postal_code": "773653468",
"telephone_number": "713-974-3131",
"fax_number": "713-974-3162"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "RILEY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-03-18",
"last_updated": "2008-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "TX",
"license": "800180",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Porter, TX
- West Wharton County Hospital District
- Westbridge Recovery Center, Inc
- Vilma Azucena Wheeler, CNIM, REP.T
- Cynthia Lindley Whitmire, PHARMD
- Monica Donnell Williams, LPC NCC LCDC
- Schann Wilson, OTR
- Joanne Kathleen Winkler
- Kelly Wolff, LPC, LPSC
- Kathryn Schmidt Wright, MD
- Melissa Ann Wright, M.S., CCC-SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.