RYAN K BERGESON MD PA
Medical Practice at Railroad St, Georgetown, TX

License number
Texas 537055
Category
Medical Practice
Type
Orthopaedic Surgery of the Spine
Owner
Name: RYAN K BERGESON M.D.
Title: PRESIDENT
Phone: (512) 863-4563
Address
Address
1904 Railroad St, Georgetown, TX 78626
National Provider ID: 1881828986
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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RYAN K. BERGESON, MD, PA

Georgetown, TX

Status:
Inactive
Industry:
Medical Doctor's Office
Doing business as:
Ryan K. Bergeson, MD, PA
Registration:
Apr 13, 2009
Addresses:
368 Riv Chase Blvd, Georgetown, TX 78628 (Mailing)
301 Seton Pkwy, Georgetown, TX 78626
1904 Railroad St, Georgetown, TX 78626
State ID:
0801109855
Business type:
Professional Association
Director , Member , President:
Ryan K. Bergeson Director , Member , President, inactive
Agent:
Ryan K Bergeson,301 Seton Pkwy, Round Rock, TX 78665 (Physical)
TIN:
32039309045

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