Provider Demographics
NPI:1275501652
Name:MCFARLAND, RYAN (OTR)
Entity Type:Individual
Prefix:
First Name:RYAN
Middle Name:
Last Name:MCFARLAND
Suffix:
Gender:M
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2928 LINDA DR
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-1307
Mailing Address - Country:US
Mailing Address - Phone:281-782-7745
Mailing Address - Fax:281-997-3552
Practice Address - Street 1:15101 EAST FWY
Practice Address - Street 2:
Practice Address - City:CHANNELVIEW
Practice Address - State:TX
Practice Address - Zip Code:77530-4104
Practice Address - Country:US
Practice Address - Phone:832-200-5514
Practice Address - Fax:832-200-1030
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX109993174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist