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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

EDWARD RYAN KISSAM, AG-ACNP

Active

EDWARD RYAN KISSAM, AG-ACNP is a Acute Care Nurse Practitioner healthcare provider located in FORT SAM HOUSTON, Texas. NPI 1194400473 is currently active in the NPPES registry. Verify at CMS.

Acute Care Nurse Practitioner · FORT SAM HOUSTON, TX

Registration Details

NPI Number
1194400473
Provider Type
Individual
Gender
Male
NPI Issued
Jun 15, 2023 (3.1250042264945 yrs)
Last Updated
Jun 15, 2023
License
1106762 (TX)

Practice Information

Address
3551 ROGER BROOKE DR BLDG 3600
FORT SAM HOUSTON, TX, 782344504
Browse TX providers · Browse ZIP 78234
Phone
2109168003
Primary Specialty
Acute Care Nurse Practitioner
363LA2100X

Other Acute Care Nurse Practitioner Providers in FORT SAM HOUSTON, TX

Name Credential NPI
FRANCIS KOBINA AGYAPONG NP 1013056704
BELINDA LEE SPENCER - 1184833592
MARK HASSLER 1871789735
HARRY CECIL BRADSTREET JR. 1346413069
ESMERALDA V LITTLE NP 1649407693
MS. MICHELLE MARIE RENEAU ACNP 1942592100
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.