Provider Demographics
NPI:1760664072
Name:WILLIAMS, RYAN STEVEN (MD)
Entity Type:Individual
Prefix:DR
First Name:RYAN
Middle Name:STEVEN
Last Name:WILLIAMS
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Gender:M
Credentials:MD
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Mailing Address - Street 1:221 W COLORADO BLVD
Mailing Address - Street 2:PAVILION II, SUITE 644
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75208-2363
Mailing Address - Country:US
Mailing Address - Phone:214-942-8300
Mailing Address - Fax:214-942-8301
Practice Address - Street 1:221 W COLORADO BLVD
Practice Address - Street 2:PAVILION II, SUITE 644
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75208-2363
Practice Address - Country:US
Practice Address - Phone:214-942-8300
Practice Address - Fax:214-942-8301
Is Sole Proprietor?:No
Enumeration Date:2007-11-28
Last Update Date:2022-04-12
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Provider Licenses
StateLicense IDTaxonomies
TXN0555207R00000X, 207RC0000X, 207RC0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0001XAllopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac Electrophysiology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX298890YSHRMedicare UPIN