Jentry D Riddle (NPI# 1003849837, PAC ID# 7719994623) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1003849837 |
| PAC ID by PECOS | 7719994623 |
| Professional Enrollment ID | I20080818000072 |
| Full Name | Jentry D Riddle |
| Organization Legal Name | ALLERGY AND ASTHMA CLINIC OF CENTRAL TEXAS, PA |
| Address |
4204 E Stan Schlueter Loop Killeen TX 76542-8352 |
| Phone Number | 2546902800 |
| Gender | F |
| Credential | PA |
| Graduation Year | 2005 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 9335193606 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450054 | SCOTT & WHITE MEDICAL CENTER - TEMPLE |
| Address | Phone | Organization |
|---|---|---|
| 4204 E Stan Schlueter Loop, Killeen, TX 76542-8352 | 2546902800 | ALLERGY AND ASTHMA CLINIC OF CENTRAL TEXAS, PA |
| Organization Legal Name | ALLERGY AND ASTHMA CLINIC OF CENTRAL TEXAS, PA |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lauren Upton | Physician Assistant | Allergy and Asthma Clinic of Central Texas, Pa | 6600 S Mopac Expwy, Suite 2180, Austin, TX 78749-1430 |
| Anthony Henry | Allergy/immunology | Allergy and Asthma Clinic of Central Texas, Pa | 4204 E Stan Schlueter Loop, Killeen, TX 76542-8352 |
| Brian T Miller | Allergy/immunology | Allergy and Asthma Clinic of Central Texas, Pa | 4204 E Stan Schlueter Loop, Killeen, TX 76542-8352 |
| Street Address |
4204 E STAN SCHLUETER LOOP |
| City | KILLEEN |
| State | TX |
| Zip | 76542-8352 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anthony Henry | Allergy/immunology | Allergy and Asthma Clinic of Central Texas, Pa | 4204 E Stan Schlueter Loop, Killeen, TX 76542-8352 |
| Brian T Miller | Allergy/immunology | Allergy and Asthma Clinic of Central Texas, Pa | 4204 E Stan Schlueter Loop, Killeen, TX 76542-8352 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Esther B De La Torre | Family Practice | 1010 W Jasper Dr, Suite 1, Killeen, TX 76542-1328 | |
| Edward E Spencer | Family Medicine | 502 W Jasper Dr, Killeen, TX 76542-1412 | |
| Osakpolo Uwoghiren | Nurse Practitioner | 1705 S Fort Hood St, Suite 103b, Killeen, TX 76542-1681 | |
| Cheung K Kim | Family Practice | 3106 S Ws Young Dr, Suite B 203, Killeen, TX 76542-2000 | |
| Monica Wilson | Clinical Social Worker | Connell and Associates LLC | 3106 S W S Young Dr, Suite B 202, Killeen, TX 76542-2000 |
| Richard N Connell | Psychologist, Clinical | Connell and Associates LLC | 3106 S W S Young Dr, Suite B 202, Killeen, TX 76542-2000 |
| Helen E Berg | Clinical Social Worker | Connell and Associates LLC | 3106 S W S Young Dr, Suite B 202, Killeen, TX 76542-2000 |
| Lisa Z Warren | Clinical Psychologist | Connell and Associates LLC | 3106 S W S Young Dr, Suite 202, Killeen, TX 76542-2000 |
| Michelle Ray | Clinical Social Worker | Connell and Associates LLC | 3106 S W S Young Dr, Suite 202, Killeen, TX 76542-2000 |
| Taghi Shafie | Psychiatry | Cedar Crest Clinic | 3106 S W S Young Dr, 201b, Killeen, TX 76542-2001 |
| Find all physicians in zip 76542 | |||
| City | KILLEEN |
| Zip Code | 76542 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | KILLEEN + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Jentry D Riddle.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.