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NPI Code Detail

MEDICARE: DR. RYAN PAUL VANEATON D.C.

MEDICARE: DR. RYAN PAUL VANEATON D.C.
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
1111N00000XChiropractor11184TX

General Provider Information

NPI Number : 1861723363
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RYAN PAUL VANEATON D.C.
Provider Business Mailing Address
First Line : 111 E OLD SETTLERS BLVD
Second Line :
City : ROUND ROCK
State : TX
Zip : 78664-2211
Country : US
Telephone Number : 512-238-7625
Fax Number : 512-238-6064
Provider Business Practice Location Address
First Line : 111 E OLD SETTLERS BLVD
Second Line :
City : ROUND ROCK
State : TX
Zip : 78664-2211
Country : US
Telephone Number : 512-238-7625
Fax Number : 512-238-6064
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/22/2010
Last Update Date : 01/22/2010

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