Individual
RYANN WYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6410 FANNIN ST STE 210, HOUSTON, TX 77030-3000
(832) 325-7288
(713) 383-1464
Mailing address
6410 FANNIN ST STE 210, HOUSTON, TX 77030-3000
(832) 325-7288
(713) 383-1464
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
PA09090
TX
363AS0400X
Surgical Physician Assistant
Primary
PA09090
TX
Other
Enumeration date
06/22/2016
Last updated
06/22/2016
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