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NPI Code Detail

MEDICARE: DR. RYLAN C HOLUB DC

MEDICARE:  DR. RYLAN C HOLUB  DC
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
1111N00000XChiropractor15597TX

General Provider Information

NPI Number : 1396435145
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RYLAN C HOLUB DC
Provider Business Mailing Address
First Line : 14612 MEDICAL COMPLEX DR
Second Line :
City : TOMBALL
State : TX
Zip : 77377-6257
Country : US
Telephone Number : 281-702-1304
Fax Number :
Provider Business Practice Location Address
First Line : 9070 GLEANNLOCH FOREST DR STE 301
Second Line :
City : SPRING
State : TX
Zip : 77379-1568
Country : US
Telephone Number : 281-702-1304
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/15/2023
Last Update Date : 05/15/2023

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Directions to “ DR. RYLAN C HOLUB DC” Practice Location

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