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Ryan Tetla, MD
General Practice Physician in Dyess Afb, Texas
NPI 1225613797

Ryan Tetla is a General Practice Physician based in Dyess Afb, TX. Ryan Tetla practices in Dyess Afb, TX and has the professional credentials of MD. The NPI Number for Ryan Tetla is 1225613797 and holds a License No. ME158021 (Texas).

The current practice location address for Ryan Tetla is 697 Louisiana Rd, Dyess Afb, TX and can be reached out via phone at 352-265-0111.

Location: 697 Louisiana Rd, Dyess Afb, TX, 79607-1141
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1225613797
Provider Name
Ryan Tetla
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
697 Louisiana Rd, Dyess Afb, TX, 79607-1141
Phone Number
352-265-0111
Fax Number
Provider Enumeration Date
03/16/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
697 Louisiana Rd
City
Dyess Afb
State
Texas
Zip
79607-1141
Phone Number
352-265-0111
Fax Number
person
Provider Business Mailing Address Details
Address
697 Louisiana Rd
City
Dyess Afb
State
Texas
Zip
79607-1141
Phone Number
352-265-0111
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
ME158021 (Florida)
Definition
Definition to come...
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