Organization Active NPI

Comprehensive Family and Womens Healthcare

  • Obstetrics & Gynecology Physician
  • Lamesa, TX
National Provider Identifier
1598027310
Registry record updated Apr 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
L6348 Issued in TX
Legal business name
COMPREHENSIVE FAMILY AND WOMENS HEALTHCARE
Practice address
2202 N Bryan Ave
Lamesa, TX 79331-2451
Phone
(806) 761-0741
Fax
(806) 872-5917
NPI assigned
Jun 8, 2012
Last updated
Apr 30, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Cornelia Selma De Riese, MD, PHDNPI 1841280716
Title
Partner
Phone
(806) 761-0741

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X L6348 TX Primary

Addresses

Primary practice location

2202 N Bryan Ave
Lamesa, TX 79331-2451

Mailing address

2202 N Bryan Ave
Lamesa, TX 79331-2451
Phone (806) 761-0741

Other identifiers 1

IdentifierTypeStateIssuer
G35172OtherTXNUMBERS PENDING

National Provider Directory

National Provider Directory

Locations

3502 9th St
Ste 350
Lubbock, TX 79415
Phone (806) 743-2707

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1339113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398816000000",
    "number": "1598027310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2202 N BRYAN AVE",
            "city": "LAMESA",
            "state": "TX",
            "postal_code": "793312451",
            "telephone_number": "806-761-0741",
            "fax_number": "806-872-5917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2202 N BRYAN AVE",
            "city": "LAMESA",
            "state": "TX",
            "postal_code": "793312451",
            "telephone_number": "806-761-0741",
            "fax_number": "806-872-5917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE FAMILY AND WOMENS HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-08",
        "last_updated": "2014-04-30",
        "status": "A",
        "authorized_official_last_name": "DE RIESE",
        "authorized_official_first_name": "CORNELIA",
        "authorized_official_middle_name": "SELMA",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "806-761-0741",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, PHD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "L6348",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NUMBERS PENDING",
            "identifier": "G35172",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lamesa, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.