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NPI Code Detail

MEDICARE: ANDREW TRAVIS RYAN

MEDICARE: ANDREW TRAVIS RYAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior TechnicianRBT-25-469707TX

General Provider Information

NPI Number : 1003749565
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREW TRAVIS RYAN
Provider Business Mailing Address
First Line : 9301 BENTLEY GARNER LN
Second Line :
City : AUSTIN
State : TX
Zip : 78748-3093
Country : US
Telephone Number : 832-217-5577
Fax Number :
Provider Business Practice Location Address
First Line : 9301 BENTLEY GARNER LN
Second Line :
City : AUSTIN
State : TX
Zip : 78748-3093
Country : US
Telephone Number : 832-217-5577
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/04/2026
Last Update Date : 06/04/2026

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Directions to “ ANDREW TRAVIS RYAN ” Practice Location

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