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NPI Code Detail

MEDICARE: DR. KATHERINE S. RYAN M.D.

MEDICARE: DR. KATHERINE S. RYAN M.D.
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
1207P00000XEmergency Medicine Physician202559LA
2207P00000XEmergency Medicine PhysicianT2741TX

General Provider Information

NPI Number : 1518155829
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KATHERINE S. RYAN M.D.
Provider Business Mailing Address
First Line : 901 W BEN WHITE BLVD
Second Line :
City : AUSTIN
State : TX
Zip : 78704-6903
Country : US
Telephone Number :
Fax Number : 504-349-1530
Provider Business Practice Location Address
First Line : 901 W BEN WHITE BLVD
Second Line :
City : AUSTIN
State : TX
Zip : 78704-6903
Country : US
Telephone Number : 737-246-1245
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/11/2007
Last Update Date : 05/11/2026

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