De Riese, Werner T.

De Riese, Werner T. is an individual health care provider with primary practice located at 3601 4Th St Stop 7260 , Lubbock TX 79430-3300. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Urology. Allopathic & Osteopathic Physicians / Urology is his primary health care specialty. De Riese, Werner T. can be contacted via phone (806) 743-1810.

Contact Information

Primary practice address
3601 4Th St Stop 7260 Lubbock TX 79430-3300
Phone: (806) 743-1810
Fax: (806) 743-1335
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X L4905 Texas
Allopathic & Osteopathic Physicians / Urology 208800000X L4905 Texas

Profile Details

NPI number 1861478240
LBN Legal business name De Riese, Werner T.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2005
Last updated Dec 2nd, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861478240 NPPES
Texas Other 111573100 FIRSTCARE COMMERCIAL
Texas MEDICAID 111573102 FIRSTCARE COMMERCIAL
Texas MEDICAID S8149 FIRSTCARE COMMERCIAL
Texas MEDICAID 104999102 FIRSTCARE COMMERCIAL
Texas Other 87183G FIRSTCARE COMMERCIAL
Texas Other A022 FIRSTCARE COMMERCIAL
Texas MEDICAID 104999101 FIRSTCARE COMMERCIAL
Texas Other 201021500 FIRSTCARE COMMERCIAL
Texas MEDICAID 201021500 FIRSTCARE COMMERCIAL
Texas Other 82844Z FIRSTCARE COMMERCIAL
Texas MEDICAID 100048660B FIRSTCARE COMMERCIAL

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