Organization
COMPREHENSIVE FAMILY AND WOMENS HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CORNELIA SELMA DE RIESE MD, PHD (PARTNER)
(806) 761-0741
Entity
Organization
Contact information
Practice address
2202 N BRYAN AVE, LAMESA, TX 79331-2451
(806) 761-0741
(806) 872-5917
Mailing address
2202 N BRYAN AVE, LAMESA, TX 79331-2451
(806) 761-0741
(806) 872-5917
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
L6348
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G35172
NUMBERS PENDING
TX
Enumeration date
06/08/2012
Last updated
04/30/2014
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