Provider Demographics
NPI:1316579840
Name:HIGHRISE HEALTH PLLC
Entity Type:Organization
Organization Name:HIGHRISE HEALTH PLLC
Other - Org Name:VERTICAL HEALTHCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PA
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:GONZALES
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, PA-C
Authorized Official - Phone:214-892-2271
Mailing Address - Street 1:3624 OAK LAWN AVE STE 110B
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75219-4711
Mailing Address - Country:US
Mailing Address - Phone:214-892-2271
Mailing Address - Fax:214-617-0509
Practice Address - Street 1:3624 OAK LAWN AVE STE 110B
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75219-4711
Practice Address - Country:US
Practice Address - Phone:214-892-2271
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-12
Last Update Date:2022-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1477874873OtherNPI
TX1831433861OtherNPI