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NPI Code Detail

MEDICARE: DENISE M RYAN MD

MEDICARE:   DENISE M 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
1207P00000XEmergency Medicine PhysicianL7148TX

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
4P00157289OTHERTXRAILROAD MEDICARE PROV #

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
18G4114OTHERTXBC/BS PROVIDER NUMBER
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
31528038163OTHERTXTRICARE SOUTH

General Provider Information

NPI Number : 1528038163
Entity Type Code : Individual
Provider Name (Legal Business Name) : DENISE M RYAN MD
Provider Business Mailing Address
First Line : 1302 WAUGH DR
Second Line : #625
City : HOUSTON
State : TX
Zip : 77019-3908
Country : US
Telephone Number : 713-416-0814
Fax Number : 281-667-3513
Provider Business Practice Location Address
First Line : 12141 RICHMOND AVE
Second Line :
City : HOUSTON
State : TX
Zip : 77082-2408
Country : US
Telephone Number : 281-558-3444
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/25/2006
Last Update Date : 04/23/2010

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Directions to “ DENISE M RYAN MD” Practice Location

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