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Individual

DR. JOHN RYAN MIKUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1607 N MAIN ST, VICTORIA, TX 77901-5213
(832) 530-7897
Mailing address
1607 N MAIN ST, VICTORIA, TX 77901-5213
(832) 530-7897

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
BP2 - 0037513
TX
2085R0202X
Diagnostic Radiology Physician
Primary
P3203
TX
2085R0204X
Vascular & Interventional Radiology Physician
P3203
TX

Other

Enumeration date
05/04/2010
Last updated
03/06/2024
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