Individual
VERNON L RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4450 SUNSET DR, SAN ANGELO, TX 76901-5611
(325) 658-1511
(325) 481-2165
Mailing address
PO BOX 22000, SAN ANGELO, TX 76902-7200
(325) 658-1511
(325) 481-2165
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
D2583TX
TX
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
D2583TX
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
033744602
—
TX
Enumeration date
10/04/2006
Last updated
06/19/2012
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