Individual
DR. JOEL MARK RISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2501 AMBASSADOR DR, WACO, TX 76712-8944
(254) 752-4395
(254) 752-7343
Mailing address
2501 AMBASSADOR DR, WACO, TX 76712-8944
(254) 752-4395
(254) 752-7343
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
G3732
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
099097002
—
TX
Enumeration date
10/13/2006
Last updated
02/16/2010
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