Individual
RYAN PAUL BIERLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPAS, PA-C
Contact information
Practice address
4502 MEDICAL DR, SAN ANTONIO, TX 78229-4402
(210) 358-2078
(210) 358-1972
Mailing address
7703 FLOYD CURL DR, MC7977, SAN ANTONIO, TX 78229-3901
(210) 450-9000
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA07515
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
287870401
—
TX
01
—
287870402
MEDICAID (CSHCN )
TX
Enumeration date
11/01/2011
Last updated
01/19/2017
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