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NPI Code Detail

MEDICARE: DR. RYAN DOUGLASS HYDE DDS

MEDICARE: DR. RYAN DOUGLASS HYDE DDS
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
11223G0001XGeneral Practice Dentistry33394TX

General Provider Information

NPI Number : 1922521657
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RYAN DOUGLASS HYDE DDS
Provider Business Mailing Address
First Line : 4525 VAN WINKLE DR
Second Line :
City : AMARILLO
State : TX
Zip : 79119-6423
Country : US
Telephone Number : 806-355-7463
Fax Number : 806-355-6014
Provider Business Practice Location Address
First Line : 4525 VAN WINKLE DR
Second Line :
City : AMARILLO
State : TX
Zip : 79119-6423
Country : US
Telephone Number : 806-655-7463
Fax Number : 806-355-6014
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/25/2017
Last Update Date : 07/21/2022

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