Individual
RYAN JAMES MAUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5323 HARRY HINES BLVD, DALLAS, TX 75390-9110
(214) 648-3824
Mailing address
5323 HARRY HINES BLVD, DALLAS, TX 75390-9110
(214) 648-3824
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
P2491
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/20/2007
Last updated
07/12/2016
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