Individual
RANY ANTONY CHERIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1703 E. 29TH STREET, BRYAN, TX 77802
(979) 779-4756
(979) 823-3018
Mailing address
1703 E. 29TH STREET, BRYAN, TX 77802
(979) 779-4756
(979) 823-3018
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
G6918
TX
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
G6918
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
091802101
—
TX
05
—
133193606
—
TX
Enumeration date
07/17/2006
Last updated
05/07/2015
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