Individual
RYAN MAX WOODHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7801 LAKEVIEW PKWY, STE 100, ROWLETT, TX 75088-4247
(972) 475-7500
(214) 427-8650
Mailing address
PO BOX 731956, DALLAS, TX 75373-1956
(972) 475-7500
(214) 427-8650
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
00026447
AL
207RC0000X
Cardiovascular Disease Physician
Primary
M7765
TX
Other
Enumeration date
10/31/2006
Last updated
04/13/2022
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