Cornelia Selma De Riese in Odessa - Female Pelvic Medicine And Reconstructive Surgery
Cornelia Selma De Riese - NPI 1841280716
Cornelia Selma De Riese is a Female Pelvic Medicine And Reconstructive Surgery in Odessa, Texas. Cornelia Selma De Riese practices all healthcare services and medical treatments related to Female Pelvic Medicine And Reconstructive Surgery. The NPI Number for Cornelia Selma De Riese is 1841280716. The last update date is 2021-04-30.
Cornelia Selma De Riese's current location address is 701 W 5th St # 3212, Odessa, Texas. You can contact this provider via phone number 4327035000 and fax number 4323355240. The mailing address for Cornelia Selma De Riese is 701 W 5th St # 3212, Odessa, Texas. To know further, please read the information below!
Provider Profile Detail
Provider Name | Cornelia Selma De Riese |
---|---|
Address | 701 W 5th St # 3212, Odessa, Texas |
Phone Number | 4327035000 |
Fax Number | 4323355240 |
Sole Proprietor | N |
Credentials | MD, PHD, M |
NPI Number Detail
NPI Number | 1841280716 |
---|---|
Provider Enumeration Date | 2005-10-24 |
Last Updated Date | 2021-04-30 |
Provider Mailing Address Detail
Address | 701 W 5th St # 3212 |
---|---|
City | Odessa |
State | Texas (TX) |
Post Code | 797634206 |
Phone Number | 4327035000 |
Fax Number | 4323355240 |
Provider's Primary Taxonomy Detail
Speciality | Female Pelvic Medicine And Reconstructive Surgery |
---|---|
Taxonomy | 207Vf0040X |
Licence No | L6348 |
Definition: A subspecialist in Female Pelvic Medicine and Reconstructive Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with compl |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
111572100 | TX | -- | |
111572101 | TX | FIRSTCARE COMMERCIAL | |
A117 | NM | TRIWEST | |
103816802 | TX | -- | |
103816803 | TX | -- | |
84497 | NM | -- | |
000K5175 | NM | -- | |
83G037 | TX | BC/BS | |
84497 | NM | PRESBYTERIAN COMMERCIAL | |
100048670A | OK | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Cornelia Selma De Riese?
The Cornelia Selma De Riese has been issued the NPI (National Provider Identifier) 1841280716 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where Cornelia Selma De Riese is geographically located?
The Cornelia Selma De Riese is physically situated at the following location: 701 W 5Th St # 3212, Odessa, TX, 797634206.
What is Cornelia Selma De Riese's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Cornelia Selma De Riese is Female Pelvic Medicine And Reconstructive Surgery, and the taxonomy code that categorizes this field of expertise is 207Vf0040X.
On what date did the Centers for Medicare & Medicaid Services assign the 1841280716 to Cornelia Selma De Riese?
The Centers for Medicare & Medicaid Services assigned the 1841280716 to Cornelia Selma De Riese on 2005-10-24.
When was the information regarding Cornelia Selma De Riese, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Cornelia Selma De Riese, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2021-04-30.
NPI Number: 1417950320
Address: 1395 Center Drive, D7-6a, Box 100416, Gainesville, FL