Provider Demographics
NPI:1154438505
Name:RIEHS, JASON MICHAEL (MD)
Entity type:Individual
Prefix:
First Name:JASON
Middle Name:MICHAEL
Last Name:RIEHS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3685 PRESTON RD
Mailing Address - Street 2:SUITE 129
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-9454
Mailing Address - Country:US
Mailing Address - Phone:214-705-7676
Mailing Address - Fax:214-705-1213
Practice Address - Street 1:3685 PRESTON RD
Practice Address - Street 2:SUITE 129
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-9454
Practice Address - Country:US
Practice Address - Phone:214-705-7676
Practice Address - Fax:214-705-1213
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL1184207R00000X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Not Answered208000000XAllopathic & Osteopathic PhysiciansPediatrics