Individual
DR. CAROLYN MARIE RILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
225 E BEAUREGARD AVE, SAN ANGELO, TX 76903-5920
(253) 481-2287
Mailing address
3601 4TH ST STOP 9406, LUBBOCK, TX 79430-9406
(806) 743-6630
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
T8327
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
TX
Other
Enumeration date
05/29/2019
Last updated
09/06/2022
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