Dr. Ryan Noble Broderick
Dentist - General Practice
9135 Schaefer Rd Ste 3
Converse
, Texas 78109-1979
Dr. Ryan Noble Broderick
Dentist - General Practice
9135 Schaefer Rd Ste 3
Converse
, Texas 78109-1979
(210) 607-8232
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About
Features
Specialties
- General Practice
Languages spoken
- English
Location
First Address
- Dr. Ryan Noble Broderick
- 9135 Schaefer Rd Ste 3
- Converse, TX
- Zip : 78109-1979
- Phone : (210) 607-8232
Second Address
- Dr. Ryan Noble Broderick
- 9135 Schaefer Rd Ste 3
- Converse, TX
- Zip : 78109-1979
- Phone : (210) 607-8232
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223G0001X | General Practice | 30868 | TX |
| Y | 213EG0000X | General Practice | 30868 | TX |
National Provider Identifier
| NPI | 1003294406 |
|---|---|
| Provider Name | Dr. Ryan Noble Broderick |
| First Address | Converse, TX 78109-1979 |
| Second Address | Converse, TX 78109-1979 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/05/2015 |
| Last Update Date | 18/05/2015 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.