Individual
JOHN RYAN BINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2401 S. 31ST ST., MS-11-AG062, TEMPLE, TX 76508
(254) 724-5815
Mailing address
2401 S 31ST ST # 11AG062, TEMPLE, TX 76508-0001
(254) 724-5815
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
S9265
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/18/2019
Last updated
03/24/2022
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