IndividualActive
Cornelia De Riese, MD, PHD, MBA
NPI 1841280716 · Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician · Odessa, TX
Provider details
- NPI number
- 1841280716
- Entity type
- Individual
- Primary specialty
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD, PHD, MBA
- Sex
- Female
- Sole proprietor
- No
- License
- L6348 (TX)
Specialties & taxonomies
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianPrimary207VF0040XLicense L6348 (TX)
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
701 W 5th St
Odessa, TX 79763-4206
Phone: (432) 335-2222
Fax: (432) 335-1009
Approximate (ZIP-level) locationGet directions
Mailing address
701 W 5th St # 3212
Odessa, TX 79763-4206
Additional practice locations (1)
- 705 E Felt StBrownfield, TX 79316-3439Phone: (806) 637-3551
Registry dates
- Enumerated
- 2005-10-24
- Last updated
- 2021-04-30
- Certified
- 2021-04-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.