RILEY DANIEL LITTLE NPI 1588292569

NPI Information

  • NPI: 1588292569
  • Provider Name: RILEY DANIEL LITTLE
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • CLIA Number: 45D2299419
  • Address: 212 RUSSELL BLVD
    NACOGDOCHES, TX
    ZIP 75965
  • Phone: (936) 569-9239

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NPI Details

Riley Daniel Little is a family medicine in Nacogdoches, TX with 6 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Riley Daniel Little NPI is 1588292569. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON
Graduation Year:2020

The provider's business location address is:

212 RUSSELL BLVD
NACOGDOCHES, TX
ZIP 75965-237
Phone: (936) 569-9239

The NPI 1588292569 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The CLIA number assigned to this NPI record is 45D2299419 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/27/2020 and was last updated on 5/1/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineLL84343SOUTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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