Provider Demographics
NPI:1457247371
Name:RYAN CONSTANTINE MD PLLC
Entity type:Organization
Organization Name:RYAN CONSTANTINE MD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:
Authorized Official - Last Name:CONSTANTINE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:214-225-0209
Mailing Address - Street 1:2858 N BELT LINE RD STE 600
Mailing Address - Street 2:
Mailing Address - City:SUNNYVALE
Mailing Address - State:TX
Mailing Address - Zip Code:75182-9303
Mailing Address - Country:US
Mailing Address - Phone:214-225-0209
Mailing Address - Fax:
Practice Address - Street 1:2858 N BELT LINE RD STE 600
Practice Address - Street 2:
Practice Address - City:SUNNYVALE
Practice Address - State:TX
Practice Address - Zip Code:75182-9303
Practice Address - Country:US
Practice Address - Phone:214-225-0209
Practice Address - Fax:214-420-7107
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-16
Last Update Date:2025-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Multi-Specialty
No2082S0105XAllopathic & Osteopathic PhysiciansPlastic SurgerySurgery of the HandGroup - Multi-Specialty