Individual
DR. COLLEEN MARIE RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
814 MUIRFIELD RD, KELLER, TX 76248-8228
(817) 514-7002
(000) 000-0000
Mailing address
814 MUIRFIELD RD, KELLER, TX 76248-8228
(817) 514-7002
(000) 000-0000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
J8752
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
J8752
STATE LICENSE NUMBER
TX
Enumeration date
07/27/2005
Last updated
07/08/2007
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