Organization
RYAN FREEMYER MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN FREEMYER MD (OWNER)
(940) 859-3374
Entity
Organization
Contact information
Practice address
214 SOUTHWEST 26TH AVENUE, SUITE A, MINERAL WELLS, TX 76067
(940) 859-3374
Mailing address
106 OAKMONT DRIVE, WEATHERFORD, TX 76088
(940) 859-3374
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
M3551
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00Y849
GROUP PTAN
TX
Enumeration date
06/13/2007
Last updated
08/15/2008
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