Individual
CAROLYN R RISINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2990 N BROADWAY AVE, TYLER, TX 75702-2149
(903) 593-1892
(903) 592-3886
Mailing address
PO BOX 844273, DALLAS, TX 75284-4273
(903) 324-6400
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
G5540
TX
Other
Enumeration date
12/05/2006
Last updated
08/28/2019
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