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Individual

RYAN MICHAEL CASSIDY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D., PH.D.

Contact information

Practice address
5615 H MARK CROSSWELL JR ST, HOUSTON, TX 77021-1080
(713) 500-1500
(713) 500-2714
Mailing address
1601 23RD AVENUE SOUTH, TRAINING OFFICE, SUITE 3105 VPH, NASHVILLE, TN 37212-8645
(615) 322-7000

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
64423
TN
2084P0800X
Psychiatry Physician
Primary
U9488
TX
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/21/2020
Last updated
06/10/2024
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