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Individual

MR. RYAN MATTHEW LEVERENZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
TECHNICIAN

Contact information

Practice address
8930 OCEAN DR, CORPUS CHRISTI, TX 78419-5201
(361) 939-6270
(361) 939-6207
Mailing address
3802 CARAVELLE PKWY APT 2804, CORPUS CHRISTI, TX 78415-3517
(361) 939-6270
(361) 939-6207

Taxonomy

Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary

Other

Enumeration date
09/27/2006
Last updated
07/08/2007
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