Healthcare Provider Details

I. General information

NPI: 1932301884
Provider Name (Legal Business Name): NATHAN R RYLANDER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/04/2007
Last Update Date: 08/06/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3003 BEE CAVES ROAD
AUSTIN TX
78746-5542
US

IV. Provider business mailing address

5000 HOPYARD ROAD STE 100
PLEASANTON CA
94588-3146
US

V. Phone/Fax

Practice location:
  • Phone: 512-314-3800
  • Fax: 512-314-3870
Mailing address:
  • Phone: 432-934-6705
  • Fax: 432-689-6856

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberP5717
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberP5717
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: