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Ryan Blair Kieser

Internal Medicine

Allopathic & Osteopathic Physicians

6445 Main St Fl 24, Houston, TX 77030-1502

PECOS Enrollment

This provider is enrolled in PECOS as RYAN KIESER.

Based on the most recent information from CMS, provider Ryan Blair Kieser is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 11:26 AM.

Profile Details

Provider ID
1033568795
Provider Type
Individual
Full Name
Kieser, Ryan Blair
Credential
M.D.

Gender
Male
Sole Proprietor
No
Enumeration Date
6/3/2016
Last Updated
5/23/2023

Contact Information

Practice Location

6445 Main St Fl 24, Houston, TX 77030-1502

(713) 441-9948

(713) 441-8791

Mailing Location

6445 Main St Fl 24, Houston, TX 77030-1502

(713) 441-9948

(713) 500-6497

Provider Taxonomies

Code	Description	License
Code 207RH0003X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License S2815 Texas
Code 207R00000X	Description Internal Medicine Allopathic & Osteopathic Physicians	License S2815 Texas
Code 390200000X	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License Unlisted Issuer

Ryan Blair Kieser

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

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