Provider Demographics
NPI:1396063699
Name:RILEY, CYNTHIA RAE (MD)
Entity type:Individual
Prefix:DR
First Name:CYNTHIA
Middle Name:RAE
Last Name:RILEY
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:19510 BATTLE OAK
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78258-3118
Mailing Address - Country:US
Mailing Address - Phone:210-846-8997
Mailing Address - Fax:210-451-8057
Practice Address - Street 1:10839 QUARRY PARK
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78233-4681
Practice Address - Country:US
Practice Address - Phone:210-888-7382
Practice Address - Fax:210-451-8057
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-11
Last Update Date:2023-04-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXP7842208100000X, 2081P0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081P0010XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPediatric Rehabilitation Medicine
No208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXP7842OtherLICENSE