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Individual

DR. RYAN P. O'QUINN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2632 BROADWAY ST STE 300, SAN ANTONIO, TX 78215-1137
(210) 558-6234
(210) 446-5039
Mailing address
2632 BROADWAY ST STE 300, SAN ANTONIO, TX 78215-1137
(210) 558-6234
(210) 446-5039

Taxonomy

Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
L5077
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
154605301
TX
Enumeration date
05/24/2006
Last updated
01/30/2020
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