Organization
RISE PHYSICIAN GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA L JONES (MANAGER)
(225) 755-9765
Entity
Organization
Contact information
Practice address
37358 MARKET PLACE DR, PRAIRIEVILLE, LA 70769-3482
(512) 948-1752
Mailing address
37358 MARKET PLACE DR, PRAIRIEVILLE, LA 70769-3482
(225) 755-9765
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
104100000X
Social Worker
—
—
207L00000X
Anesthesiology Physician
—
—
207LA0401X
Addiction Medicine (Anesthesiology) Physician
—
—
207P00000X
Emergency Medicine Physician
Primary
—
—
207RA0401X
Addiction Medicine (Internal Medicine) Physician
—
—
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
—
—
208M00000X
Hospitalist Physician
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
10/22/2024
Last updated
03/30/2026
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