MEDICARE: DR. CHRISTY RISINGER M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	M2461	TX

General Provider Information

NPI Number	:	1700897634
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTY RISINGER M.D.

Provider Business Mailing Address
First Line	:	3706 SOUTH FIRST ST
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78704
Country	:	US
Telephone Number	:	512-324-4973
Fax Number	:	512-324-4948

Provider Business Practice Location Address
First Line	:	8913 COLLINFIELD DR
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78758-6704
Country	:	US
Telephone Number	:	512-324-6850
Fax Number	:	512-324-6851

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/09/2006
Last Update Date	:	12/10/2007

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