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Contact Information

NICHOLAS S RISTER, MD
1500 COOPER ST
FORT WORTH, TX76104-2710
 Phone: 682-885-1485
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Infectious Diseases

2080P0208X 37 Physician/Pediatric Medicine
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for NICHOLAS S RISTER · (Male)

NPI # 1407118573
Status Active
Credentials MD
Entity Individual
Enumeration date 06/13/2012
Last updated 04/06/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • TX License # R9846
  • VA License # 0101257601
Hospital affiliation(s)
  • COOK CHILDRENS MEDICAL CENTER - (Childrens)
    801 SEVENTH AVENUE
    FORT WORTH, TX 76104
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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