Provider Demographics
NPI:1104303510
Name:RISEN SON LLC. D.B.A. QUALITY FIRST FAMILY HEALTH
Entity type:Organization
Organization Name:RISEN SON LLC. D.B.A. QUALITY FIRST FAMILY HEALTH
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SOLE PROPRIETOR
Authorized Official - Prefix:
Authorized Official - First Name:EBONY
Authorized Official - Middle Name:PATRICE
Authorized Official - Last Name:WASHINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:FNP- BC
Authorized Official - Phone:318-461-1461
Mailing Address - Street 1:11329 N SAM HOUSTON PKWY E
Mailing Address - Street 2:
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77396-4598
Mailing Address - Country:US
Mailing Address - Phone:281-835-4449
Mailing Address - Fax:281-835-4236
Practice Address - Street 1:11329 N SAM HOUSTON PKWY E
Practice Address - Street 2:
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77396-4598
Practice Address - Country:US
Practice Address - Phone:281-835-4449
Practice Address - Fax:281-835-4236
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-27
Last Update Date:2025-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care