Provider Demographics
NPI:1700897634
Name:RISINGER, CHRISTY (MD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTY
Middle Name:
Last Name:RISINGER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3706 SOUTH FIRST ST
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78704
Mailing Address - Country:US
Mailing Address - Phone:512-324-4973
Mailing Address - Fax:512-324-4948
Practice Address - Street 1:8913 COLLINFIELD DR
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78758-6704
Practice Address - Country:US
Practice Address - Phone:512-324-6850
Practice Address - Fax:512-324-6851
Is Sole Proprietor?:No
Enumeration Date:2006-08-09
Last Update Date:2007-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM2461207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXI46156Medicare UPIN
TX8G9845Medicare ID - Type Unspecified