Individual
DR. RYAN MENZIES TIERNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4101 JAMES CASEY ST, SUTIE 100, AUSTIN, TX 78745-3325
(512) 447-2202
(512) 447-5337
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
(972) 234-0813
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
BB4745785-2004014122
MO
2085R0001X
Radiation Oncology Physician
Primary
N3349
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
203872101
—
TX
05
—
203872102
—
TX
01
—
8CA670
BCBS
TX
01
—
P00784606
RAILROAD MEDICARE
TX
Enumeration date
10/04/2006
Last updated
02/19/2010
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