Organization Active NPI

Barbara Ryno Davidson MD PA

  • Clinic/Center
  • Tyler, TX
National Provider Identifier
1245319334
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
BARBARA RYNO DAVIDSON MD PA
Practice address
1100 E Lake St Ste 340
Tyler, TX 75701-3359
Phone
(903) 533-0699
Fax
(903) 597-0822
NPI assigned
Nov 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Barbara Ryno Davidson, MD PA
Title
Association
Phone
(903) 533-0699

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

1100 E Lake St Ste 340
Tyler, TX 75701-3359

Mailing address

1100 E Lake St Ste 340
Tyler, TX 75701-3359
Phone (903) 533-0699

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245319334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 E LAKE ST STE 340",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757013359",
            "telephone_number": "903-533-0699",
            "fax_number": "903-597-0822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 E LAKE ST STE 340",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757013359",
            "telephone_number": "903-533-0699",
            "fax_number": "903-597-0822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARBARA RYNO DAVIDSON MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DAVIDSON",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "RYNO",
        "authorized_official_title_or_position": "ASSOCIATION",
        "authorized_official_telephone_number": "903-533-0699",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD PA"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.