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General NPI Number Information
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NPI Number | 1538665674
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Entity Type | Individual
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Provider Name | DR. RYAN SPENCER SHINE
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Gender | Male
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Dates
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Enumeration Date | 04/05/2018
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Last Update Date | 07/31/2025
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Provider Practice Location Address
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Address Line | 1100 E DOVE AVE STE 300
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City | MCALLEN
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State | TX
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Zip | 78504-4682
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Country | US
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Telephone | 956-362-8170
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Fax | 956-362-8168
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Provider Business Mailing Address
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Address Line | PO BOX 2975
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City | MCALLEN
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State | TX
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Zip | 78502-2975
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Country | US
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Telephone | 956-362-8170
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Fax | 956-362-8168
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | U6808
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 2086S0102X
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Taxonomy Name | Surgical Critical Care Physician
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License Number | U6808
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License Number State | TX
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