Individual
DR. LANGSTON RAY RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6100 HARRIS PKWY, #245, FORT WORTH, TX 76132-4131
(817) 346-5336
(817) 346-5366
Mailing address
6100 HARRIS PKWY, #245, FORT WORTH, TX 76132-4131
(817) 346-5336
(817) 346-5366
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
F4465
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
129173404
—
TX
01
—
160046054
MEDICARE RAILROAD
TX
01
—
4373198
AETNA HMO
TX
01
—
82952X
BC/BS
TX
Enumeration date
06/15/2006
Last updated
07/15/2010
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