EDWARD RYAN KISSAM

FORT SAM HOUSTON, TX
NPI1194400473
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: TX  1106762)
Enumeration Date2023-06-15
Last Update Date2023-06-15
Business Address
EDWARD RYAN KISSAM AG-ACNP
3551 ROGER BROOKE DR BLDG 3600
FORT SAM HOUSTON, TX 78234-4504
Phone number: 210-916-8003
Mailing Address
EDWARD RYAN KISSAM AG-ACNP
3551 ROGER BROOKE DR BLDG 3600
FORT SAM HOUSTON, TX 78234-4504
Phone number: 210-916-8003
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