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RYAN N.BOURNEMD.PA NPI 1841449253


NPI Information

NPI: 1841449253
Provider Name: RYAN N.BOURNE,MD.PA
Classification: Internal Medicine - 207RI0011X
Entity Type: Organization

Specialization: Interventional Cardiology

Address:
8715 VILLAGE DR STE 400
SAN ANTONIO, TX
ZIP 78217
Phone: (210) 646-6656
Get Directions

RYAN N.BOURNE,MD.PA is an interventional cardiology internal medicine in San Antonio, TX. The provider is an area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. RYAN N.BOURNE,MD.PA NPI is 1841449253. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

8715 VILLAGE DR STE 400
SAN ANTONIO, TX
ZIP 78217-407
Phone: (210) 646-6656
Fax: (210) 646-6330

The provider's authorized official is Ryan Noland Bourne .
The authorized official title is President and has the following contact phone number (210) 646-6556.

The enumeration date for this NPI number is 9/10/2008 and was last updated on 2/6/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal MedicineM9875TEXASNo
2207RC0000XInternal MedicineCardiovascular DiseaseM9875TEXASNo
3207RI0011XInternal MedicineInterventional CardiologyM9875TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11578730271OTHERTEXASNPI INDIVIDUAL
20A0037MEDICARE PINTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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