Individual
RYAN WESLEY FAIRCHILD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
140 HILLCREST MEDICAL BLVD STE 2, WACO, TX 76712-8897
(254) 741-1400
Mailing address
PO BOX 848491, DALLAS, TX 75284-8491
Taxonomy
Speciality
Code
Description
License number
State
207XX0801X
Orthopaedic Trauma Physician
Primary
S3515
TX
Other
Enumeration date
04/07/2015
Last updated
10/18/2021
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