Individual
DR. RYAN M COUGHLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1400 HESTERS CROSSING RD, ROUND ROCK, TX 78681-8025
(512) 244-4400
Mailing address
4500 WILLIAMS DRIVE SUITE 212 PMB 222, GEORGETOWN, TX 78633
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
Q1218
TX
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
32505
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200661280A
—
OK
Enumeration date
05/15/2012
Last updated
07/07/2023
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