Provider Demographics
NPI:1245755149
Name:RYAN, SARAH C (CBD)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:C
Last Name:RYAN
Suffix:
Gender:F
Credentials:CBD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:547 HCR 1429
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76636-4479
Mailing Address - Country:US
Mailing Address - Phone:972-921-1982
Mailing Address - Fax:
Practice Address - Street 1:547 HCR 1429
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:TX
Practice Address - Zip Code:76636-4479
Practice Address - Country:US
Practice Address - Phone:972-921-1982
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-11
Last Update Date:2017-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula