Provider Demographics
NPI:1811247950
Name:FRIEBEN, RYAN WILLIAM (MD)
Entity type:Individual
Prefix:
First Name:RYAN
Middle Name:WILLIAM
Last Name:FRIEBEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:633 MEDICAL PKWY
Mailing Address - Street 2:
Mailing Address - City:BRENHAM
Mailing Address - State:TX
Mailing Address - Zip Code:77833-5412
Mailing Address - Country:US
Mailing Address - Phone:979-830-1014
Mailing Address - Fax:979-836-9103
Practice Address - Street 1:633 MEDICAL PKWY
Practice Address - Street 2:
Practice Address - City:BRENHAM
Practice Address - State:TX
Practice Address - Zip Code:77833-5412
Practice Address - Country:US
Practice Address - Phone:979-830-1014
Practice Address - Fax:979-836-9103
Is Sole Proprietor?:No
Enumeration Date:2012-09-17
Last Update Date:2024-03-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXP4952208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology