Individual
CHARLES C RISINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 N VIRGINIA ST, TERRELL, TX 75160-2732
(972) 551-7500
(972) 524-7418
Mailing address
200 N VIRGINIA ST, TERRELL, TX 75160-2732
(972) 551-7500
(972) 524-7418
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G8376
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
128032303
—
TX
01
—
8125J2
BCBSTX
TX
Enumeration date
07/21/2006
Last updated
01/25/2023
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