MEDICARE: DR. COLLEEN MARIE RYAN MD

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	207Q00000X	Family Medicine Physician	J8752	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	J8752	OTHER	TX	STATE LICENSE NUMBER

General Provider Information

NPI Number	:	1518967041
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. COLLEEN MARIE RYAN MD

Provider Business Mailing Address
First Line	:	814 MUIRFIELD RD
Second Line	:
City	:	KELLER
State	:	TX
Zip	:	76248-8228
Country	:	US
Telephone Number	:	817-514-7002
Fax Number	:	--

Provider Business Practice Location Address
First Line	:	814 MUIRFIELD RD
Second Line	:
City	:	KELLER
State	:	TX
Zip	:	76248-8228
Country	:	US
Telephone Number	:	817-514-7002
Fax Number	:	--

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

Provider Enumeration Date	:	07/27/2005
Last Update Date	:	07/08/2007

Similar Medicare Providers

1245972371 — CRISTINA BRYANT PHARMD
Practice Location Address:

976 KELLER PKWY
KELLER, TX
76248-3608

Practice Phone: 817-431-5178
Practice Fax:

1740162726 — SOUTHLAKE ORTHOPEDICS & SPORTS MEDICINE, PLLC
Practice Location Address:

1149 KELLER PKWY STE A
KELLER, TX
76248-1620

Practice Phone: 214-631-9881
Practice Fax:

1740283134 — DR. GREGORY DALE GARLETT D.C.
Practice Location Address:

1200 KELLER PKWY , STE 300
KELLER, TX
76248-3819

Practice Phone: 682-593-7659
Practice Fax: 682-593-7651

1356347306 — DR. GREGORY MICHAEL FULLER M.D.
Practice Location Address:

300 NORTH RUFE SNOW DR
KELLER, TX
76248

Practice Phone: 817-431-3800
Practice Fax: 817-337-0784

1730186230 — DR. NIRAJ MAHENDRA MEHTA D.O.
Practice Location Address:

8845 DAVIS BLVD STE 100
KELLER, TX
76248-0391

Practice Phone: 817-900-9525
Practice Fax: 817-900-9545

1902808439 — DR. RANDALL STANTON HALL D.O.
Practice Location Address:

601 S MAIN ST STE 200
KELLER, TX
76248-7028

Practice Phone: 817-912-8060
Practice Fax: 817-912-8070

Directions to “ DR. COLLEEN MARIE RYAN MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.