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Organization

WILLIAM RISK, MD, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
WILLIAM RISK MD (PRESIDENT)
(817) 284-7499
Entity
Organization

Contact information

Practice address
809 W HARWOOD RD STE 204, HURST, TX 76054-6233
(817) 284-7499
(817) 284-4262
Mailing address
809 W HARWOOD RD STE 204, HURST, TX 76054-6233
(817) 284-7499
(817) 284-4262

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
C8419
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00C755
BCBS
TX
05
032402201
TX
Enumeration date
02/07/2007
Last updated
05/18/2012
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