Individual
DR. WERNER T. DE RIESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3601 4TH ST STOP 7260, LUBBOCK, TX 79430-3300
(806) 743-1810
(806) 743-1335
Mailing address
PO BOX 5865, LUBBOCK, TX 79408-5865
(806) 743-2898
(806) 743-2787
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
L4905
TX
208800000X
Urology Physician
Primary
L4905
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100048660B
—
OK
05
—
104999101
—
TX
05
—
104999102
—
TX
01
—
111573100
FIRSTCARE COMMERCIAL
TX
05
—
111573102
—
TX
01
—
201021500
PRESBYTERIAN COMMERCIAL
NM
05
—
201021500
—
NM
01
—
82844Z
HMO BLUE
TX
01
—
87183G
BC/BS
TX
01
—
A022
TRIWEST
NM
05
—
S8149
—
NM
Enumeration date
12/19/2005
Last updated
12/02/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us