DR. MD, PHD, MBA Cornelia Selma De Riese, NPI 1841280716
Female Pelvic Medicine and Reconstructive Surgery (Obstetrics & Gynecology) Physician in Odessa, TX, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1841280716
NPI Entity Type Individual
Provider Name DR. MD, PHD, MBA Cornelia Selma De Riese
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 701 W 5th St, Odessa, TX, US
Provider Mailing Address 701 W 5th St # 3212, Odessa, TX, US, 797634206
Gender Female
Is Sole Proprietor? No
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Primary Taxonomy

Taxonomy Code

207VF0040X

Taxonomy Name Female Pelvic Medicine and Reconstructive Surgery (Obstetrics & Gynecology) Physician
Classification

Obstetrics & Gynecology

Group

Allopathic & Osteopathic Physicians

License No. L6348
License State TX
Description 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 complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them.

Business Address

DR. MD, PHD, MBA Cornelia Selma De Riese
701 W 5th St

Odessa, TX, US

Phone: 432-335-2222
Fax: 432-335-1009

Mailing Address

DR. MD, PHD, MBA Cornelia Selma De Riese
701 W 5th St # 3212
Odessa, TX, US
ZIP 797634206
Phone: 432-703-5000
Fax: 432-335-5240

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

207V00000X

Allopathic & Osteopathic Physicians

Obstetrics & Gynecology

L6348 TX No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
111572100 TX MEDICAID 05
111572101 TX FIRSTCARE COMMERCIAL 01
A117 NM TRIWEST 01
103816802 TX MEDICAID 05
103816803 TX MEDICAID 05
84497 NM MEDICAID 05
000K5175 NM MEDICAID 05
83G037 TX BC/BS 01
84497 NM PRESBYTERIAN COMMERCIAL 01
100048670A OK MEDICAID 05
80833Z TX HMO BLUE 01

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Organization

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