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General NPI Number Information
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NPI Number | 1235091554
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Entity Type | Individual
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Provider Name | WESLEY RYAN HUGHES
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Gender | Male
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Dates
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Enumeration Date | 11/25/2025
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Last Update Date | 11/25/2025
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Provider Practice Location Address
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Address Line | 300 COLLEGE AVE
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City | FORT WORTH
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State | TX
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Zip | 76104-1121
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Country | US
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Telephone | 817-631-2405
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Fax |
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Provider Business Mailing Address
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Address Line | 6767 LANCELOT CT
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City | FORT WORTH
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State | TX
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Zip | 76133-5002
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Country | US
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Telephone | 325-370-7768
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 40957
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License Number State | TX
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