Individual
RYAN SCOTT MACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1900 SCENIC DR STE 3308, GEORGETOWN, TX 78626-7876
(512) 869-2566
Mailing address
1900 SCENIC DR STE 3308, GEORGETOWN, TX 78626-7876
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
BP10043155
TX
207RC0000X
Cardiovascular Disease Physician
Primary
Q3284
TX
Other
Enumeration date
04/06/2012
Last updated
02/09/2022
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