Individual
DENISE M RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
12141 RICHMOND AVE, HOUSTON, TX 77082-2408
(281) 558-3444
Mailing address
1302 WAUGH DR, #625, HOUSTON, TX 77019-3908
(713) 416-0814
(281) 667-3513
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
L7148
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1528038163
TRICARE SOUTH
TX
05
—
162091602
—
TX
01
—
8G4114
BC/BS PROVIDER NUMBER
TX
01
—
P00157289
RAILROAD MEDICARE PROV #
TX
Enumeration date
01/25/2006
Last updated
04/23/2010
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