Individual
MARY MICAELA RIEGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
911 W 38TH ST STE 202, AUSTIN, TX 78705-1107
(512) 324-8670
Mailing address
911 W 38TH ST STE 202, AUSTIN, TX 78705-1107
(512) 324-8670
Taxonomy
Speciality
Code
Description
License number
State
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
S8762
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1134548399
—
TX
Enumeration date
04/15/2014
Last updated
10/25/2022
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