Healthcare Provider Details

I. General information

NPI: 1841352424
Provider Name (Legal Business Name): JAMES LOWELL RYMAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/13/2006
Last Update Date: 04/29/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 S PALESTINE ST
ATHENS TX
75751-5610
US

IV. Provider business mailing address

311 E MILAM ST
MEXIA TX
76667-2359
US

V. Phone/Fax

Practice location:
  • Phone: 254-205-9548
  • Fax:
Mailing address:
  • Phone: 254-562-2500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberM4501
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberM4501
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: