Provider Demographics
NPI:1497148431
Name:RIEFLE, ANTHONY ALLEN
Entity Type:Individual
Prefix:
First Name:ANTHONY
Middle Name:ALLEN
Last Name:RIEFLE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2141 DRAGON TRL
Mailing Address - Street 2:
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78130-3297
Mailing Address - Country:US
Mailing Address - Phone:626-698-9842
Mailing Address - Fax:
Practice Address - Street 1:2141 DRAGON TRL
Practice Address - Street 2:
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78130-3297
Practice Address - Country:US
Practice Address - Phone:626-698-9842
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-16
Last Update Date:2015-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care