Individual
MARYLYNN RITTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1905 SW HK DODGEN LOOP, TEMPLE, TX 76502
(254) 298-2682
(254) 778-7197
Mailing address
1905 SW HK DODGEN LOOP, TEMPLE, TX 76502
(254) 298-2682
(254) 778-7197
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
M0242
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M0242
TEXAS MEDICAL LICENSE
TX
Enumeration date
05/19/2008
Last updated
05/19/2008
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