Individual
DAVID OWEN RISINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
815 PENNSYLVANIA AVE, FORT WORTH, TX 76104-2224
(817) 321-0404
Mailing address
816 W CANNON ST, FORT WORTH, TX 76104-3194
(817) 321-0404
(817) 321-0390
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
H7093
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1343360-05
—
TX
05
—
134336008
—
TX
Enumeration date
07/11/2006
Last updated
11/25/2024
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