Individual
RYAN MCLEAN STUCKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7401 MAIN ST, HOUSTON, TX 77030-4509
(713) 799-2300
(713) 794-3380
Mailing address
7401 MAIN ST, HOUSTON, TX 77030-4509
(713) 799-2300
(713) 794-3380
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
N6046
TX
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
N6046
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110848013
MEDICARE PROVIDER PTAN
—
05
—
200750660A
—
KS
Enumeration date
05/02/2007
Last updated
04/22/2025
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