Individual
RYAN W VANCURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12554 RIATA VISTA CIRCLE, AUSTIN, TX 78727-6431
(512) 795-5100
(512) 795-5122
Mailing address
12554 RIATA VISTA CIRCLE, AUSTIN, TX 78727-6431
(512) 795-5100
(512) 795-5122
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
P9019
TX
2085R0202X
Diagnostic Radiology Physician
A120174
CA
2085R0202X
Diagnostic Radiology Physician
Primary
P9019
TX
2085R0204X
Vascular & Interventional Radiology Physician
P9019
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0A1201740
—
CA
Enumeration date
06/21/2007
Last updated
05/16/2018
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