Individual
RYAN J HANISCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3226 S ALAMEDA ST, CORPUS CHRISTI, TX 78404-2508
(361) 888-6684
Mailing address
3226 REID DR, CORPUS CHRISTI, TX 78404-2519
(361) 853-4503
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
241349-1
NY
Other
Enumeration date
04/10/2007
Last updated
07/12/2013
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