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General NPI Number Information
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NPI Number | 1083059026
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Entity Type | Organization
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Legal Business Name | RYAN W. FRIEBEN, M.D., PA
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Dates
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Enumeration Date | 05/03/2013
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Last Update Date | 02/01/2024
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Provider Practice Location Address
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Address Line | 633 MEDICAL PKWY
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City | BRENHAM
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State | TX
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Zip | 77833-5412
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Country | US
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Telephone | 979-830-1014
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Fax | 979-836-9103
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Provider Business Mailing Address
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Address Line | 633 MEDICAL PKWY
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City | BRENHAM
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State | TX
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Zip | 77833-5412
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Country | US
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Telephone | 979-830-1014
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Fax | 979-836-9103
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Authorized Official
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Title or Position | SENIOR PARTNER
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Name | DR. RYAN WILLIAM FRIEBEN
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Credential | M.D.
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Telephone | 979-830-1014
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number | P4952
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License Number State | TX
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