Individual
RYAN SIDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
U
Contact information
Practice address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
(210) 527-7525
Mailing address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
39678
TX
Other
Enumeration date
05/02/2024
Last updated
09/25/2024
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