Provider Demographics
NPI:1982830667
Name:LIERMANN, RYAN A
Entity Type:Individual
Prefix:MR
First Name:RYAN
Middle Name:A
Last Name:LIERMANN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20111 SUNCHASE WAY
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77449-4948
Mailing Address - Country:US
Mailing Address - Phone:281-787-0396
Mailing Address - Fax:
Practice Address - Street 1:20111 SUNCHASE WAY
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77449-4948
Practice Address - Country:US
Practice Address - Phone:281-787-0396
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-08
Last Update Date:2009-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies