Provider Demographics
NPI:1689056186
Name:MCPHERSON, RYAN A (DO)
Entity Type:Individual
Prefix:DR
First Name:RYAN
Middle Name:A
Last Name:MCPHERSON
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:4310 JAMES CASEY ST STE 3C
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78745-1120
Mailing Address - Country:US
Mailing Address - Phone:512-244-0766
Mailing Address - Fax:512-244-1013
Practice Address - Street 1:4310 JAMES CASEY ST STE 3C
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78745-1120
Practice Address - Country:US
Practice Address - Phone:512-244-0766
Practice Address - Fax:512-244-1013
Is Sole Proprietor?:No
Enumeration Date:2015-06-22
Last Update Date:2021-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZR2477208600000X
TXT33352086S0102X, 208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No2086S0102XAllopathic & Osteopathic PhysiciansSurgerySurgical Critical Care