MEDICARE: DR. STEVEN RYAN DO D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	OS018851	PA
2	207RI0200X	Infectious Disease Physician	5151014146	MI
3	207RI0200X	Infectious Disease Physician	OS018851	PA
4	207R00000X	Internal Medicine Physician	V1444	TX

General Provider Information

NPI Number	:	1447611124
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEVEN RYAN DO D.O.

Provider Business Mailing Address
First Line	:	8411 W BELLFORT AVE
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77071-2205
Country	:	US
Telephone Number	:	713-429-0808
Fax Number	:	713-429-0452

Provider Business Practice Location Address
First Line	:	8411 W BELLFORT AVE
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77071-2205
Country	:	US
Telephone Number	:	713-429-0808
Fax Number	:	713-429-0452

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/09/2016
Last Update Date	:	06/05/2024

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