Healthcare Provider Details

I. General information

NPI: 1194352468
Provider Name (Legal Business Name): RYAN THOMAS CONYER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/25/2020
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

520 BLOSSOM ST
WEBSTER TX
77598-4210
US

IV. Provider business mailing address

4700 SETON CENTER PKWY STE 115
AUSTIN TX
78759-5753
US

V. Phone/Fax

Practice location:
  • Phone: 281-332-9537
  • Fax: 833-520-1435
Mailing address:
  • Phone: 281-332-9537
  • Fax: 833-520-1435

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number30887
License Number StateMN
# 2
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number69559
License Number StateMN
# 3
Primary TaxonomyY
Taxonomy Code207XX0005X
TaxonomySports Medicine (Orthopaedic Surgery) Physician
License NumberV9872
License Number StateTX
# 4
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberV9872
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: