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General NPI Number Information
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NPI Number | 1043201015
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Entity Type | Individual
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Provider Name | PAULA D. RYAN MD, PHD
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Gender | Female
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Dates
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Enumeration Date | 10/31/2005
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Last Update Date | 01/28/2016
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Provider Practice Location Address
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Address Line | 9200 PINECROFT DR STE 450
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City | SHENANDOAH
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State | TX
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Zip | 77380-3280
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Country | US
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Telephone | 281-296-0365
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Fax | 281-298-8907
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Provider Business Mailing Address
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Address Line | PO BOX 911230
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City | DALLAS
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State | TX
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Zip | 75391-1230
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Country | US
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Telephone | 972-997-8000
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Fax | 972-234-0813
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 205016
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number | 205016
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License Number State | MA
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Taxonomy #3
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Taxonomy Code | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number | MD441313
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License Number State | PA
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Taxonomy #4
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Taxonomy Code | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number | Q0553
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License Number State | TX
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