Healthcare Provider Details

I. General information

NPI: 1093630337
Provider Name (Legal Business Name): RYAN MCFARLAND
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/13/2026
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

415 N COLLEGE AVE
CLARKSVILLE AR
72830-2880
US

IV. Provider business mailing address

481 FM 36 N
GREENVILLE TX
75401-7537
US

V. Phone/Fax

Practice location:
  • Phone: 663-206-2896
  • Fax:
Mailing address:
  • Phone: 214-620-7497
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License NumberAT1144
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: