Provider Demographics
NPI:1821875659
Name:RISE INTEGRATED HEALTHCARE SOLUTIONS
Entity Type:Organization
Organization Name:RISE INTEGRATED HEALTHCARE SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:
Authorized Official - Last Name:HAGUE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:940-315-2530
Mailing Address - Street 1:521 S LOOP 288 STE 165
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76205-4512
Mailing Address - Country:US
Mailing Address - Phone:940-315-2530
Mailing Address - Fax:340-380-8099
Practice Address - Street 1:521 S LOOP 288 STE 165
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76205-4512
Practice Address - Country:US
Practice Address - Phone:940-315-2530
Practice Address - Fax:340-380-8099
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-14
Last Update Date:2023-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty