NPI 1053979773

Carolyn Marie Riley, MD

Practitioner Pediatrics Physician San Angelo, TX

Practice location

Address: 225 E Beauregard Ave, San Angelo, TX 76903-5920
Phone: (253) 481-2287
Mailing address: 3601 4th St Stop 9406, Lubbock, TX 79430-9406

Registered specialties (2)

Pediatrics Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence T8327 (TX)

Other Pediatrics providers in Texas →

Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1053979773
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 May 2019
Record last updated: 6 Sep 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.