Provider Demographics
NPI:1346491149
Name:AIRALL-RYAN, ALISON ANGELA (MD)
Entity Type:Individual
Prefix:
First Name:ALISON
Middle Name:ANGELA
Last Name:AIRALL-RYAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2820 N BELT LINE RD
Mailing Address - Street 2:
Mailing Address - City:SUNNYVALE
Mailing Address - State:TX
Mailing Address - Zip Code:75182-9388
Mailing Address - Country:US
Mailing Address - Phone:972-288-6189
Mailing Address - Fax:972-698-7641
Practice Address - Street 1:2820 N BELT LINE RD
Practice Address - Street 2:
Practice Address - City:SUNNYVALE
Practice Address - State:TX
Practice Address - Zip Code:75182-9388
Practice Address - Country:US
Practice Address - Phone:972-288-6189
Practice Address - Fax:972-698-7641
Is Sole Proprietor?:No
Enumeration Date:2008-10-10
Last Update Date:2018-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN0598208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXN0598OtherTEXAS MEDICAL BOARD LICENSE