Organization
CORNERSTONEMD,PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAROLYN KENIA ROSS RILEY MD (MANAGING MEMBER)
(469) 801-8480
Entity
Organization
Contact information
Practice address
12222 N CENTRAL EXPY STE 140, DALLAS, TX 75243
(469) 801-8480
(214) 575-8480
Mailing address
12222 N CENTRAL EXPY STE 140, DALLAS, TX 75243-3755
(469) 801-8480
(214) 575-8484
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
Q3590
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1184882276
—
LA
01
—
NONE
NONE
—
Enumeration date
07/08/2018
Last updated
02/04/2021
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