Dr. Cornelia Selma De Riese
Obstetrician & Gynecologist Female Pelvic Medicine and Reconstructive Surgeon
701 W 5th St
Odessa
, Texas 79763-4206
Dr. Cornelia Selma De Riese
Obstetrician & Gynecologist Female Pelvic Medicine and Reconstructive Surgeon
701 W 5th St
Odessa
, Texas 79763-4206
(432) 335-5240
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About
Features
Specialties
- Obstetrician & Gynecologist
- Female Pelvic Medicine and Reconstructive Surgeon
Languages spoken
- English
Location
First Address
- Dr. Cornelia Selma De Riese
- 701 W 5th St # 3212
- Odessa, TX
- Zip : 79763-4206
- Fax : (432) 335-5240
- Phone : (432) 703-5000
Second Address
- Dr. Cornelia Selma De Riese
- 701 W 5th St
- Odessa, TX
- Zip : 79763-4206
- Fax : (432) 335-1009
- Phone : (432) 335-2222
Reviews
FAQs
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Is Dr. Cornelia Selma De Riese board certified?
What type of doctor is Dr. Cornelia Selma De Riese
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Is Dr. Cornelia Selma De Riese a sole practitioner?
Is Dr. Cornelia Selma De Riese accepting new patients?
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Does Dr. Cornelia Selma De Riese have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207V00000X | Obstetrician & Gynecologist | L6348 | TX |
| Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | L6348 | TX |
National Provider Identifier
| NPI | 1841280716 |
|---|---|
| Provider Name | Dr. Cornelia Selma De Riese |
| First Address | Odessa, TX 79763-4206 |
| Second Address | Odessa, TX 79763-4206 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/10/2005 |
| Last Update Date | 30/04/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000K5175 | (05) | NM |
| 100048670A | (05) | OK |
| 103816802 | (05) | TX |
| 103816803 | (05) | TX |
| 111572100 | (05) | TX |
| 111572101 | FIRSTCARE COMMERCIAL (01) | TX |
| 80833Z | HMO BLUE (01) | TX |
| 83G037 | BC/BS (01) | TX |
| 84497 | (05) | NM |
| 84497 | PRESBYTERIAN COMMERCIAL (01) | NM |
| A117 | TRIWEST (01) | NM |
| G35172 | (02) | TX |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.