Individual
RYAN T ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
901 W BEN WHITE BLVD, AUSTIN, TX 78704-6903
(512) 816-8090
Mailing address
1827 SPILLMAN ST, AUSTIN, TX 78704-2125
(512) 291-3899
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
M3451
TX
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
M3451
TX
Other
Enumeration date
05/17/2006
Last updated
07/20/2010
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