Individual
RYAN NOLAND BOURNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8715 VILLAGE DR, STE 400, SAN ANTONIO, TX 78217-5405
(210) 646-6556
(210) 646-6330
Mailing address
8715 VILLAGE DR, STE 400, SAN ANTONIO, TX 78217-5405
(210) 646-6556
(210) 646-6330
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
M9875
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TXB153127
WELLMED NETWORKS INC
—
Enumeration date
05/12/2008
Last updated
10/17/2025
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