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Individual

DR. GREGG HOWARD RISNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
300 W BROADWAY ST, WINNSBORO, TX 75494-2435
(903) 342-3113
(903) 342-7734
Mailing address
300 W. BROADWAY ST, WINNSBORO, TX 75494
(903) 342-3113
(903) 342-7734

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4288
TX
111NS0005X
Sports Physician Chiropractor
4288
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4288
STATE LICENSE
TX
Enumeration date
08/17/2007
Last updated
02/06/2018
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