Individual
RYAN MICHAEL TAUBE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1500 S MAIN ST, FORT WORTH, TX 76104-4917
(248) 410-3127
Mailing address
2436 N FEDERAL HWY FL 33064, 158, LIGHTHOUSE POINT, FL 33064-6854
(954) 860-7997
(754) 345-0582
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OS14017
FL
207P00000X
Emergency Medicine Physician
Q2859
TX
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/19/2013
Last updated
12/15/2022
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