Individual
CLINTON RISDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3419 22ND ST, LUBBOCK, TX 79410-1334
(806) 796-3000
(806) 796-3006
Mailing address
3419 22ND ST, LUBBOCK, TX 79410-1334
(806) 796-3000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP129981
TX
Other
Enumeration date
01/07/2016
Last updated
04/22/2019
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