Provider Demographics
NPI:1497834279
Name:RILEY, EMMETT TALMADGE JR (RRT, RCP)
Entity Type:Individual
Prefix:MR
First Name:EMMETT
Middle Name:TALMADGE
Last Name:RILEY
Suffix:JR
Gender:M
Credentials:RRT, RCP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1782 LAKESHORE DR
Mailing Address - Street 2:
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79602-5231
Mailing Address - Country:US
Mailing Address - Phone:325-673-1084
Mailing Address - Fax:
Practice Address - Street 1:1782 LAKESHORE DR
Practice Address - Street 2:
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79602-5231
Practice Address - Country:US
Practice Address - Phone:325-673-1084
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX50549227900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Registered