Individual
RYAN CARLISLE EGBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4502 MEDICAL DR, SAN ANTONIO, TX 78229-4402
(210) 358-4000
Mailing address
12330 VANCE JACKSON RD APT 13107, SAN ANTONIO, TX 78230-6033
(801) 473-3409
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A143122
CA
Other
Enumeration date
04/24/2016
Last updated
03/14/2024
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