Individual
DR. RYAN PATRICK STORK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1333 MOURSUND ST STE 129, HOUSTON, TX 77030-3405
(713) 797-5929
(713) 797-5213
Mailing address
1133 JOHN FREEMAN BLVD # 285A, HOUSTON, TX 77030-2809
(713) 486-2283
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
4301098293
MI
2081P0301X
Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician
Primary
S5507
TX
Other
Enumeration date
04/06/2011
Last updated
05/11/2020
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