Individual
DR. DENNIS DE KOVEN RISTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
768 SOUTH MAIN STREET, LUMBERTON, TX 77657
(409) 781-1920
Mailing address
768 SOUTH MAIN STREET, LUMBERTON, TX 77657
(409) 781-1920
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
05207R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1339598
—
LA
Enumeration date
09/26/2006
Last updated
02/11/2011
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