SearchTexas106S00000X

Jetta Ryan

NPI 1053017426 · on the registry since 2023

Practice

Address
4100 Ambrose Dr
Killeen, TX 76549
Phone
(254) 548-8073

Registry record

Primary taxonomy
106S00000X
106S00000X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-02-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas