Individual
RYAN SUDARIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030-4000
(713) 792-6161
Mailing address
PO BOX 4439, HOUSTON, TX 77210-4439
(713) 792-2991
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1045620
TX
363LA2200X
Adult Health Nurse Practitioner
1045620
TX
Other
Enumeration date
10/28/2021
Last updated
07/01/2024
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