Mary Riyanto is one of 1,896 nurse practitioners practicing in Dallas, Texas .
Mary Riyanto practices with Dallas County Hospital District.
Registry record (NPPES)
NPI
1558783746
Type
Type 1 · Individual
Primary taxonomy
Nurse Practitioner, Women's Health · 363LW0102X
Address on file
6300 Harry Hines Blvd.
Enumerated
Jan 8, 2014
Record last updated
Oct 10, 2022
License states listed
TX
Medicare (CMS)
Enrollment
Medicare-enrolled in TXNurse Practitioner
Revalidation due
No date set by CMS
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Part D prescribing
Procedure volumes by CPT code
Group affiliations and colleagues
Full enrollment history
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Practice locations
5200 Harry Hines BlvdDallas , TX 75235
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Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.
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