Healthcare Provider Details

I. General information

NPI: 1639050396
Provider Name (Legal Business Name): RISE & SHINE SPEECH AND LANGUAGE, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/09/2025
Last Update Date: 09/09/2025
Certification Date: 09/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

330 TWIN OAK
ADKINS TX
78101-2311
US

IV. Provider business mailing address

330 TWIN OAK
ADKINS TX
78101-2311
US

V. Phone/Fax

Practice location:
  • Phone: 210-201-6677
  • Fax:
Mailing address:
  • Phone: 210-201-6677
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: KRISTA M DOTSON
Title or Position: SPEECH LANGUAGE PATHOLOGIST
Credential: M.S. CCC-SLP
Phone: 210-393-7929