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Individual

DONALD L RISINGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3000 HERRING AVENUE, WACO, TX 76708
(254) 202-2000
(254) 753-6229
Mailing address
PO BOX 1888, GREENVILLE, TX 75403
(800) 945-2455
(903) 453-2541

Taxonomy

Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
D1027
TX
2085R0202X
Diagnostic Radiology Physician
Primary
D1027
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1314940-04
TX
05
131494007
TX
Enumeration date
07/11/2006
Last updated
05/13/2008
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