Provider Demographics
NPI:1881186690
Name:SILLER, RYAN LAWRENCE (MD)
Entity type:Individual
Prefix:DR
First Name:RYAN
Middle Name:LAWRENCE
Last Name:SILLER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6501 MEMORIAL DR
Mailing Address - Street 2:
Mailing Address - City:TEXAS CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77591-4015
Mailing Address - Country:US
Mailing Address - Phone:409-938-8161
Mailing Address - Fax:409-938-0837
Practice Address - Street 1:6501 MEMORIAL DR
Practice Address - Street 2:
Practice Address - City:TEXAS CITY
Practice Address - State:TX
Practice Address - Zip Code:77591-4015
Practice Address - Country:US
Practice Address - Phone:409-938-8161
Practice Address - Fax:409-938-0837
Is Sole Proprietor?:No
Enumeration Date:2018-06-06
Last Update Date:2025-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXU4933207X00000X
TXBP10063885207XX0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery