Individual
DR. PAULA D. RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, PHD
Contact information
Practice address
9200 PINECROFT DR STE 450, SHENANDOAH, TX 77380-3280
(281) 296-0365
(281) 298-8907
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
(972) 234-0813
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
205016
MA
207RX0202X
Medical Oncology Physician
205016
MA
207RX0202X
Medical Oncology Physician
MD441313
PA
207RX0202X
Medical Oncology Physician
Primary
Q0553
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0100510
—
MA
01
—
205016
TUFTS HEALTH PLAN
MA
01
—
J22110
BCBS MA
MA
01
—
P01520676
RAILROAD MEDICARE
TX
Enumeration date
10/31/2005
Last updated
01/28/2016
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