Wallace R Ryne, O.D.

NPI #1164421319 in Southlake, Texas

Provider Information

NPI Number: 1164421319
Entity Type: Individual
Name: Wallace R Ryne, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Jul 19, 2005
Last Updated: Mar 7, 2023

Practice Location

Address: 1980 E NORTHWEST PKWY
City: Southlake
State: Texas
ZIP Code: 76092-6510
Phone: (817) 329-2700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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