Individual
DR. RYAN WINTRELL RIDLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
18100 HOUSTON METHODIST DR STE 220, HOUSTON, TX 77058-3653
(832) 783-1170
(281) 333-0145
Mailing address
18100 HOUSTON METHODIST DR STE 220, HOUSTON, TX 77058-3653
(832) 783-1170
(281) 333-0145
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
BP1-0026608
TX
207Y00000X
Otolaryngology Physician
Primary
P3424
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TXB166198
MEDICARE - GROUP
TX
Enumeration date
06/14/2007
Last updated
04/27/2022
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